Individual provider Active NPI

Nasser M Kazmouz, MD

  • Family Medicine Physician
  • Land O' Lakes, FL
National Provider Identifier
1508882135
Registry record updated Jan 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME111513 Issued in FL
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

Updated by the provider on Jan 16, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
48659OtherMNSTATE LICENCE NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20060814000506 MN Practitioner - Emergency MedicinePractitioner - Family Practice 7618970583 Reassigns benefits to 8 organizations
I20160120001287 FL Practitioner - Family PracticePractitioner - Emergency Medicine 7618970583 Reassigns benefits to 4 organizations

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

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME111513FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Millennium Physician Group LLC Family Medicine CurrentSince Jul 14, 2021 Accepting new patients
Perham Hospital District Current Accepting new patients
VMD Primary Providers Central Florida PLLC Family Medicine CurrentSince Nov 30, 2022 Accepting new patients
Dr Kay LLC Family Medicine CurrentSince Mar 2, 2024 Accepting new patients
Avera Marshall CurrentSince Oct 13, 2025 Accepting new patients
Perham Hospital District CurrentSince Dec 16, 2016 Accepting new patients
Avera Marshall CurrentSince Oct 13, 2025 Accepting new patients
St. Francis Medical Center Current Accepting new patients
Perham Hospital District CurrentSince Dec 16, 2016 Accepting new patients
St. Francis Medical Center CurrentSince Feb 26, 2019 Accepting new patients
Millennium Physician Group LLC Family Medicine CurrentSince Jul 14, 2021 Accepting new patients
Avera Marshall CurrentSince Oct 13, 2025 Accepting new patients
VMD Primary Providers Central Florida PLLC Family Medicine PastSince May 8, 2022 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

  • Direct secure messaging: 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.

View all 17

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.