Individual provider Active NPI

Mazen Kattih, M.D.

  • Gastroenterology Physician
  • Brandon, FL
National Provider Identifier
1770566531
Registry record updated Jun 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
ME79267 Issued in FL
Practice address
116 Parsons Park Dr
Brandon, FL 33511-6066
Phone
(813) 571-0500
Fax
(813) 571-0512
NPI assigned
Nov 25, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X ME79267 FL Primary

Addresses

Primary practice location

116 Parsons Park Dr
Brandon, FL 33511-6066

Mailing address

PO Box 291489
Tampa, FL 33687-1489
Phone (813) 571-0500

Other identifiers 1

IdentifierTypeStateIssuer
261133300MedicaidFL

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
I20041230000486 FL Practitioner - Internal MedicinePractitioner - Gastroenterology 2365400785 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Gastroenterology
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Hospital Physician Group IncGroup PAC ID 2365679057, 953 clinicians

Practice addresses (Care Compare)

116 Parsons Park Dr
Brandon, FL 33511-6066
Phone (813) 684-5255

Hospital & facility affiliations

  • Adventhealth Riverview Hospital, Riverview, FL, CCN 100364
  • HCA Florida Brandon Hospital Hospital, Brandon, FL, CCN 100243
  • Adventhealth Tampa Hospital, Tampa, FL, CCN 100173

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy24
Upper gastrointestinal (GI) endoscopy for acid reflux32

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME79267FLMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mazen Kattih,MD, PA. Gastroenterology CurrentSince Dec 14, 2005 Accepting new patients
Florida Hospital Physician Group Inc Gastroenterology CurrentSince Apr 24, 2023 Accepting new patients
David J Vargas MD PA Gastroenterology Past Accepting new patients
Emergency Physician Specialists Inc Past Accepting new patients
Sebring Emergency Physicians LLC Past Accepting new patients

Locations

276 S Moon Ave
Brandon, FL 33511
Phone (813) 571-0500

116 Parsons Park Dr
Brandon, FL 33511
Phone (813) 681-6625

13100 Fort King Rd
Dade City, FL 33525
Phone (352) 521-1100

900 Hope Way
Forest City, FL 32714
Phone (407) 357-1255

13901 Bruce B Downs Blvd
Tampa, FL 33613
Phone (813) 615-7260

2700 Healing Way
Ste 310
Wesley Chapel, FL 33543
Phone (813) 779-1209

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Organizations & group practices 5

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.

Hospital & facility affiliations 4

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": "1132876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686096000000",
    "number": "1770566531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 291489",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336871489",
            "telephone_number": "813-571-0500",
            "fax_number": "813-571-0512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 PARSONS PARK DR",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335116066",
            "telephone_number": "813-571-0500",
            "fax_number": "813-571-0512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KATTIH",
        "first_name": "MAZEN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-25",
        "last_updated": "2023-06-07",
        "certification_date": "2023-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "FL",
            "license": "ME79267",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "261133300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brandon, FL

Sources for this page

Verify at the official NPI Registry.