Individual provider Active NPI

Sadaf Bazargan, MD

  • Neurology Physician
  • Lutz, FL
National Provider Identifier
1265461941
Registry record updated Nov 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
ME89013 Issued in FL
Practice address
17551 N Dale Mabry Hwy
Lutz, FL 33548-4521
Phone
(813) 454-4044
Fax
(813) 265-3937
NPI assigned
Jul 3, 2006
Last updated
Nov 8, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 8, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X ME89013 FL Primary
Pain Medicine (Psychiatry & Neurology) Physician 2084P2900X ME89013 FL

Addresses

Primary practice location

17551 N Dale Mabry Hwy
Lutz, FL 33548-4521

Mailing address

17551 N Dale Mabry Hwy
Lutz, FL 33548-4521
Phone (813) 454-4044

Other identifiers 2

IdentifierTypeStateIssuer
268419500MedicaidFL
82620OtherFLBLUE CROSS BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20040308001073 FL Practitioner - NeuropsychiatryPractitioner - Neurology 5890683239 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neuropsychiatry
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

217 Crystal Grove Blvd
Lutz, FL 33548-6465
Phone (813) 454-4044

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Pearl Institute PL CurrentSince Sep 1, 2007 Accepting new patients
One Step Closer to Healing CurrentSince Jun 15, 2025 Accepting new patients
Brightstar Chiropractic and Progressive Rehab, LLC PastSince Feb 1, 2025 Accepting new patients

Locations

17551 N Dale Mabry Hwy
Lutz, FL 33548
Phone (813) 454-4044

217 Crystal Grove Blvd
Lutz, FL 33548
Phone (813) 454-4044

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352332800000",
    "number": "1265461941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17551 N DALE MABRY HWY",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335484521",
            "telephone_number": "813-454-4044",
            "fax_number": "813-265-3937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17551 N DALE MABRY HWY",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335484521",
            "telephone_number": "813-454-4044",
            "fax_number": "813-265-3937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAZARGAN",
        "first_name": "SADAF",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-03",
        "last_updated": "2012-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "FL",
            "license": "ME89013",
            "primary": true
        },
        {
            "code": "2084P2900X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Pain Medicine",
            "state": "FL",
            "license": "ME89013",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "268419500",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "82620",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lutz, FL

Sources for this page

Verify at the official NPI Registry.