Individual provider Active NPI

Kaloian Georgiev Ouzounov, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Miami, FL
National Provider Identifier
1447284823
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
PO2889 Issued in FL
Practice address
2455 W Flagler St Ste 1
Miami, FL 33135-1439
Phone
(305) 803-6755
NPI assigned
Jul 10, 2006
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X PO2889 FL Primary

Addresses

Primary practice location

2455 W Flagler St Ste 1
Miami, FL 33135-1439

Mailing address

13255 SW 137TH Ave Ste 109
Miami, FL 33186-5327
Phone (786) 713-0934

Other identifiers 1

IdentifierTypeStateIssuer
PO2889OtherFLPODIATRY LICENSE

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050613000183 FL Practitioner - Podiatry 8729022629 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 1998
Medicare assignment
May accept Medicare assignment
Group practices
Aria Podiatry Care PLLCGroup PAC ID 2567822661, 53 clinicians
Pedirite Medical FL LLCGroup PAC ID 7113336843, 14 clinicians

Practice addresses (Care Compare)

1125 Fleming Plantation Blvd
Fleming Island, FL 32003-3389
Phone (877) 674-1211

13255 SW 137TH Ave
Suite 109
Miami, FL 33126-5327
Phone (786) 713-0934

60 N Hwy 17 92
Debary, FL 32713-2513
Phone (212) 764-0008

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of nail tissue2447

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PO2889FLMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Aria Podiatry Care PLLC CurrentSince Nov 25, 2024 Accepting new patients
Podiatry International, Inc. Foot & Ankle Surgery CurrentSince Oct 18, 2010 Accepting new patients
Pedirite Medical FL LLC CurrentSince Jul 1, 2025 Accepting new patients
Edwin Pratts Ponce D P M P a PastSince Nov 1, 2007 Accepting new patients
General Medical Rehabilitation Center Inc Past Accepting new patients
Aria Dental Care PC Past Accepting new patients
Hialeah Chiropractic and Wellness Center Past Accepting new patients

Locations

60 N US Highway 17 92
Debary, FL 32713
Phone (386) 668-4426

13255 SW 137th Ave
Ste 109
Miami, FL 33186
Phone (786) 250-4145

2455 W Flagler St
Ste 1
Miami, FL 33135
Phone (305) 200-3102

3051 W Flagler St
Miami, FL 33135
Phone (305) 642-5153

13499 Biscayne Blvd
Ste 204
North Miami, FL 33181

1125 Fleming Plantation Blvd
Orange Park, FL 32003
Phone (904) 245-7620

267 Broadway
Fl 2
Brooklyn, NY 11211
Phone (716) 912-5877

Organizations & group practices 7

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": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1447284823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13255 SW 137TH AVE STE 109",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331865327",
            "telephone_number": "786-713-0934",
            "fax_number": "786-478-6972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2455 W FLAGLER ST STE 1",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331351439",
            "telephone_number": "305-803-6755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OUZOUNOV",
        "first_name": "KALOIAN",
        "middle_name": "GEORGIEV",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "FL",
            "license": "PO2889",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PODIATRY LICENSE",
            "identifier": "PO2889",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.