Safwan Kazmouz, M.D.

Primary specialty

Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X

License

14925 Issued in NH

Practice address

40 Hibiscus Way
Nashua, NH 03062-3088

Phone

(734) 718-0196

NPI assigned

Jul 7, 2005

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in NH, MD2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Family Practice

Education

Wayne State University School of Medicine, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Coastal Hospice Inc Hospice, Salisbury, MD, CCN 211505

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Medicine at Your Door, LLC

  • Geriatric Medicine (Family Medicine) Physician
  • Nashua, NH
  • NPI 1548690092
  Medicare reassignment NPD Authorized official
• Coastal Hospice, Inc

  • Specialist
  • Salisbury, MD
  • NPI 1134272735

  Clinic/Center

  Medicare reassignment NPD
• Coastal Hospice Inc

  • Community Based Hospice Care Agency
  • Salisbury, MD
  • NPI 1083709984

  Geriatric Medicine

  NPD
• Skilled Medical Provider Group PLLC

  • Internal Medicine Physician
  • Durham, NH
  • NPI 1386952844

  Clinic/Center

  NPD (past)
• California Care Level Management Direct Medical Group, Inc

  • General Practice Physician
  • Woodland Hills, CA
  • NPI 1659357341

  Clinic/Center

  NPD (past)
• Ipc Hospitalists of New England, P.C.

  • Internal Medicine Physician
  • Springfield, MA
  • NPI 1659555266

  Clinic/Center

  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Coastal Hospice Inc

  • Community Based Hospice Care Agency
  • Salisbury, MD
  • NPI 1083709984
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722470400000",
    "number": "1245238922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 HIBISCUS WAY",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030623088",
            "telephone_number": "734-718-0196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 HIBISCUS WAY",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030623088",
            "telephone_number": "734-718-0196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAZMOUZ",
        "first_name": "SAFWAN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-07",
        "last_updated": "2024-08-01",
        "certification_date": "2024-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "MI",
            "license": "4301062135",
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "CA",
            "license": "A65580",
            "primary": false
        },
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "NH",
            "license": "14925",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0808272492",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3095219",
            "state": "NH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4123626",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jacob L Kaufman, MD
• David Merrill Kaufmann, D.P.M.
• Cara Douville Kaupp, MD
• Gregory W Kaupp, M.D.
• Arielle Kazlow, M.S., CCC-SLP
• Joseph Thomas Kearns, PA
• Kristine Kearns, OTR
• Jacob Keating
• Madison Keating, BA
• Mary A. Keefe, M.S.W.

• Geriatric Medicine (Family Medicine) Physician in Nashua, NH
• Providers in Nashua, NH by specialty
• Geriatric Medicine (Family Medicine) Physician in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.