Individual provider Active NPI

Maryam Kazelka, MD

  • Student in an Organized Health Care Education/Training Program
  • Tampa, FL
National Provider Identifier
1285564872
Registry record updated May 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
License
45059 Issued in FL
Practice address
13601 Bruce B Downs Blvd Ste 300
Tampa, FL 33613-4653
Phone
(813) 615-8235
NPI assigned
May 23, 2026
Sex
Unspecified or another gender identity
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X 45059 FL Primary

Addresses

Primary practice location

13601 Bruce B Downs Blvd Ste 300
Tampa, FL 33613-4653

Mailing address

13601 Bruce B Downs Blvd Ste 300
Tampa, FL 33613-4653
Phone (813) 615-8235

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
I20260604002571 FL Order and Referring Only - Diagnostic RadiologyPractitioner - Diagnostic Radiology 0042781650

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
45059FLMDStudent in an Organized Health Care Education/Training Program

NPI Registry JSON

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

{
    "created_epoch": "1779494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779494400000",
    "number": "1285564872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13601 BRUCE B DOWNS BLVD STE 300",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336134653",
            "telephone_number": "813-615-8235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13601 BRUCE B DOWNS BLVD STE 300",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336134653",
            "telephone_number": "813-615-8235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAZELKA",
        "first_name": "MARYAM",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2026-05-23",
        "last_updated": "2026-05-23",
        "certification_date": "2026-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "FL",
            "license": "45059",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.