Tatiana V. Kazakova

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

T9715 Issued in TX

Practice address

3828 Ursuline St
Galveston, TX 77550-6614

Phone

(409) 761-3200

NPI assigned

Jun 17, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1560729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684627200000",
    "number": "1679133177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3828 URSULINE ST",
            "city": "GALVESTON",
            "state": "TX",
            "postal_code": "775506614",
            "telephone_number": "409-761-3200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3828 URSULINE ST",
            "city": "GALVESTON",
            "state": "TX",
            "postal_code": "775506614",
            "telephone_number": "409-761-3200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAZAKOVA",
        "first_name": "TATIANA",
        "middle_name": "V.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-17",
        "last_updated": "2023-05-21",
        "certification_date": "2023-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD478402",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "T9715",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Asish Katta, DO
• Kevin Katz, O.D.
• Savreet Kaur, MD
• Vinod Prakash Kaushik, M.D.
• Mehraban Kavoussi, MD
• Erin Kearney, P.A.-C
• Joseph Patrick Kearney Jr., MD
• Eleni Asfaw Kebede, MD
• Philip Keiser, MD
• Jeannot Kekedjian, MD

• Family Medicine Physician in Galveston, TX
• Providers in Galveston, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.