Individual provider Active NPI

Mohammad Qazi, MD

  • Diagnostic Radiology Physician
  • Orlando, FL
National Provider Identifier
1669426185
Registry record updated Sep 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
ME56502 Issued in FL
Practice address
9009 Great Heron Cir
Orlando, FL 32836-5484
Phone
(407) 247-2828
NPI assigned
May 20, 2006
Last updated
Sep 20, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 20, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X ME56502 FL Primary

Addresses

Primary practice location

9009 Great Heron Cir
Orlando, FL 32836-5484

Mailing address

9009 Great Heron Cir
Orlando, FL 32836-5484
Phone (407) 247-2828

Other practice location 1

2100 1st Ave S
St Petersburg, FL 33712-1212
Phone (727) 525-2121

Other practice location 2

4800 Park Blvd N
Pinellas Park, FL 33781-3534
Phone (727) 525-2121

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041012000547 FL Practitioner - Diagnostic Radiology 1254391535 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 1969
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advance Technological Radiology PAGroup PAC ID 8527043389, 7 clinicians

Practice addresses (Care Compare)

2235 N Blvd W
Davenport, FL 33837-8990
Phone (863) 421-9393

2235 N W Blvd
Davenport, FL 33837-8990
Phone (863) 421-9393

24040 US Hwy 27
Lake Wales, FL 33859-7813
Phone (863) 421-9393

315 Central Ave E
Winter Haven, FL 33880-3047
Phone (863) 421-9393

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Advance Technological Radiology, PA Diagnostic Radiology CurrentSince Dec 28, 2017 Accepting new patients
Gateway Radiology Consultants PA Diagnostic Radiology CurrentSince Jan 1, 2018 Accepting new patients
Gateway Radiology Consultants, P.a. CurrentSince Jan 1, 2018 Accepting new patients
Florida Radiology Imaging at Lake Mary LLC Diagnostic Radiology Past Accepting new patients
Carrollwood Diagnostic Imaging Diagnostic Radiology Past Accepting new patients
Advance Technological Radiology, PA Diagnostic Radiology PastSince Aug 8, 2021 Accepting new patients
Simonmed Imaging Florida LLC Diagnostic Radiology Past Accepting new patients
Tampa Bay Radiology Consultants Diagnostic Radiology Past Accepting new patients
Florida Radiology Imaging at Lake Mary, LLC Diagnostic Radiology Past Accepting new patients
Drew Medical Inc Past Accepting new patients
Advance Technological Radiology, PA Diagnostic Radiology PastSince Aug 8, 2021 Accepting new patients

Locations

2235 North Blvd W
Davenport, FL 33837
Phone (863) 421-8674

24040 US Highway 27
Lake Wales, FL 33859
Phone (863) 421-9393

4800 Park Blvd N
Pinellas Park, FL 33781
Phone (727) 522-1061

2100 1st Ave S
St Petersburg, FL 33712
Phone (727) 522-1061

315 E Central Ave
Winter Haven, FL 33880
Phone (863) 295-5674

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 12

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": "1148083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537401600000",
    "number": "1669426185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9009 GREAT HERON CIR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328365484",
            "telephone_number": "407-247-2828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9009 GREAT HERON CIR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328365484",
            "telephone_number": "407-247-2828"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2100 1st Ave S",
            "address_purpose": "LOCATION",
            "city": "St Petersburg",
            "state": "FL",
            "postal_code": "337121212",
            "country_code": "US",
            "telephone_number": "727-525-2121",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4800 Park Blvd N",
            "address_purpose": "LOCATION",
            "city": "Pinellas Park",
            "state": "FL",
            "postal_code": "337813534",
            "country_code": "US",
            "telephone_number": "727-525-2121",
            "fax_number": "727-528-7916",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "QAZI",
        "first_name": "MOHAMMAD",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-20",
        "last_updated": "2018-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME56502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.