Louis Mazzella, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

ME110316 Issued in FL

Practice address

246 49TH Ave N
Saint Petersburg, FL 33703-3926

Phone

(904) 518-7127

Fax

(727) 205-4918

NPI assigned

Jul 2, 2008

Last updated

Dec 2, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Other names 1

• Luiz Mazzella Other name

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

Specialty

Family PracticeAlso: General Practice

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Nautilus Health Care Group LLCGroup PAC ID 5991604852, 51 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Nautilus Health Care Group LLC

  • Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
  • Melbourne, FL
  • NPI 1912013558

  Multi-Specialty

  Medicare reassignment Care Compare group NPD
• Wound Healers MD

  • General Practice Physician
  • St Petersburg, FL
  • NPI 1225771157

  Multi-Specialty

  Medicare reassignment NPD Authorized official
• Skin Docs, LLC

  • Family Medicine Physician
  • Fairfield, CT
  • NPI 1538415369
  Authorized official Same address or phone
• Nautilus Health Care Group, LLC

  • Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
  • Kokomo, IN
  • NPI 1013234699

  Multi-Specialty

  NPD
• Advanced Wound Systems LLC

  • Durable Medical Equipment & Medical Supplies
  • St Petersburg, FL
  • NPI 1508054271
  NPD (past)
• Airs Global & Therapeutic Services Inc.

  • Health Service Clinic/Center
  • Ocala, FL
  • NPI 1699121301
  NPD (past)
• Fairfield Podiatry Associates LLC

  • Podiatrist
  • Fairfield, CT
  • NPI 1407047954

  Multi-Specialty

  NPD (past)

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

{
    "created_epoch": "1214956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669939200000",
    "number": "1508029323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 DEEPWOOD LN",
            "address_2": "COTTAGE",
            "city": "WESTPORT",
            "state": "CT",
            "postal_code": "068801317",
            "telephone_number": "404-805-2290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "246 49TH AVE N",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337033926",
            "telephone_number": "904-518-7127",
            "fax_number": "727-205-4918"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7 Deepwood Ln",
            "address_2": "Cottage",
            "address_purpose": "LOCATION",
            "city": "Westport",
            "state": "CT",
            "postal_code": "068801317",
            "country_code": "US",
            "telephone_number": "404-805-2290",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAZZELLA",
        "first_name": "LOUIS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-07-02",
        "last_updated": "2022-12-02",
        "certification_date": "2022-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CT",
            "license": "049824",
            "primary": false
        },
        {
            "code": "2083P0011X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Undersea and Hyperbaric Medicine",
            "state": "FL",
            "license": "ME110316",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "FL",
            "license": "ME110316",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LUIZ",
            "last_name": "MAZZELLA",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Gabriel Joseph Mazur
• Jake Mazza
• Lisa Michelle Mazzaferro, DNP, APRN
• Michael V. Mazzaferro, MD
• Jessica Mazzella
• Ellen Mazzone
• MC Medical LLC (Walmart Health)
• Jeanetta MC Tier, PH.D.
• Kathryn McAuliffe
• Lori Ann McAuliffe, MD

• General Practice Physician in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• General Practice Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2022; 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.