Active NPI
Nasser M Kazmouz, MD
- Family Medicine Physician
- Land O' Lakes, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- ME111513
- Practice address
- 2716 Stonewood Park Loop
Land O Lakes, FL 34638-6213 - Phone
- (813) 873-0000
- Fax
- (813) 873-3659
- NPI assigned
- Jul 15, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | ME111513 | FL | Primary |
| Family Medicine Physician | 207Q00000X | 48659 | MN |
Addresses
Primary practice location
2716 Stonewood Park Loop
Land O Lakes, FL 34638-6213
Mailing address
8718 Bonica PL
Land O Lakes, FL 34637-5811
Phone (813) 503-4800
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 48659 | Other | MN | STATE LICENCE NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
2716 Stonewood Park Loop
Land O Lakes, FL 34638-6213
Phone (813) 388-2886
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME111513 | FL | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Millennium Physician Group LLC | Family Medicine | Current | Accepting new patients |
| Perham Hospital District | Current | Accepting new patients | |
| VMD Primary Providers Central Florida PLLC | Family Medicine | Current | Accepting new patients |
| Dr Kay LLC | Family Medicine | Current | Accepting new patients |
| Avera Marshall | Current | Accepting new patients | |
| Perham Hospital District | Current | Accepting new patients | |
| Avera Marshall | Current | Accepting new patients | |
| St. Francis Medical Center | Current | Accepting new patients | |
| Perham Hospital District | Current | Accepting new patients | |
| St. Francis Medical Center | Current | Accepting new patients | |
| Millennium Physician Group LLC | Family Medicine | Current | Accepting new patients |
| Avera Marshall | Current | Accepting new patients | |
| VMD Primary Providers Central Florida PLLC | Family Medicine | Past | Accepting new patients |
| St Francis Medical Center | Past | Accepting new patients |
Locations
4404 S Highway 27
Clermont, FL 34711
5230 Land O Lakes Blvd
Unit 1015
Land O Lakes, FL 34639
2716 Stonewood Park Loop
Land O Lakes, FL 34638
Phone (813) 360-1118
1060 Woodcock Rd
Ste 128
Orlando, FL 32803
Phone (346) 980-2725
5601 N Hiawassee Rd
Orlando, FL 32818
Phone (321) 294-0611
19531 Cochran Blvd
Pt Charlotte, FL 33948
Phone (941) 255-3535
2727 W Mlk Blvd
Ste 800
Tampa, FL 33607
Phone (813) 873-0000
15416 N Florida Ave
Ste 203
Tampa, FL 33613
Phone (347) 463-5529
3293 Solutions Ctr
Chicago, IL 60677
2400 St Francis Dr
Breckenridge, MN 56520
Phone (218) 643-0226
300 S Bruce St
Marshall, MN 56258
Phone (507) 532-9631
105 Otter Dr
Ottertail, MN 56571
Phone (218) 367-6111
1000 Coney St W
Perham, MN 56573
Phone (218) 347-1200
Interoperability endpoints
- nkazmouz419230@direct.centracare.com
Organizations & group practices 17
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.
-
- Family Medicine Physician
- Land O' Lakes, FL
- NPI 1194576231
-
- Family Medicine Physician
- Fort Myers, FL
- NPI 1811122880
-
- Family Medicine Physician
- Saint Cloud, FL
- NPI 1134738974
-
dba Avera Marshall Regional Medical Center
- Critical Access Hospital
- Marshall, MN
- NPI 1568401016
-
dba St. Francis Healthcare Campus
- Critical Access Hospital
- Breckenridge, MN
- NPI 1639162381
-
- Critical Access Hospital
- Breckenridge, MN
- NPI 1891954574
-
- Emergency Medicine Physician
- Aventura, FL
- NPI 1043917180
-
- Critical Access Hospital
- Moose Lake, MN
- NPI 1154959880
-
dba Essentia Health Sandstone
- Critical Access Hospital
- Sandstone, MN
- NPI 1326041633
-
- Family Medicine Physician
- Brooksville, FL
- NPI 1073131702
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Avera Marshall Regional Medical Center
- Critical Access Hospital
- Marshall, MN
- NPI 1568401016
-
dba North Memorial Ambulance Service
- Ambulance
- Brooklyn Center, MN
- NPI 1538195912
Hospital
-
dba North Memorial Health Specialty Center - Robbinsdale
- Medical Specialty Clinic/Center
- Robbinsdale, MN
- NPI 1699953000
Hospital
-
dba North Memorial Health Hospital
- General Acute Care Hospital
- Robbinsdale, MN
- NPI 1851344907
-
dba Perham Health
- Family Medicine Physician
- Perham, MN
- NPI 1457631814
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152921600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736985600000",
"number": "1508882135",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8718 BONICA PL",
"city": "LAND O LAKES",
"state": "FL",
"postal_code": "346375811",
"telephone_number": "813-503-4800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2716 STONEWOOD PARK LOOP",
"city": "LAND O LAKES",
"state": "FL",
"postal_code": "346386213",
"telephone_number": "813-873-0000",
"fax_number": "813-873-3659"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAZMOUZ",
"first_name": "NASSER",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-15",
"last_updated": "2025-01-16",
"certification_date": "2025-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "ME111513",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MN",
"license": "48659",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENCE NUMBER",
"identifier": "48659",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Land O' Lakes, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2025; 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.