Individual provider Active NPI

Gary Alan Kazlow, M.D.,F.C.C.P.

  • Specialist
  • Columbia, MD
National Provider Identifier
1609840370
Registry record updated Oct 18, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
D41617 Issued in MD
Practice address
10805 Hickory Ridge Rd
Suite 210
Columbia, MD 21044-3626
Phone
(410) 715-9599
NPI assigned
Feb 17, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 18, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X D41617 MD Primary

Addresses

Primary practice location

10805 Hickory Ridge Rd
Suite 210
Columbia, MD 21044-3626

Mailing address

5309 Catchfly CT
Columbia, MD 21045-2345
Phone (410) 715-0634

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20100910000770 MD Practitioner - Pulmonary DiseasePractitioner - Internal Medicine 0547385726 Practice locations: Elkridge, MD

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Internal Medicine
Education
Emory University School of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

8176 Lark Brown Rd
Elkridge, MD 21075-6432
Phone (443) 661-4163

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Frederick Health Hospital Inc Past Accepting new patients
Baltimore Pulmonary & Critical Care, PA Specialist Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IDFADD/Endpoint/IDFADD

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1140134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192665600000",
    "number": "1609840370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5309 CATCHFLY CT",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210452345",
            "telephone_number": "410-715-0634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10805 HICKORY RIDGE RD",
            "address_2": "SUITE 210",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210443626",
            "telephone_number": "410-715-9599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAZLOW",
        "first_name": "GARY",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "M.D.,F.C.C.P.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-17",
        "last_updated": "2007-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MD",
            "license": "D41617",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MD

Sources for this page

Verify at the official NPI Registry.