Kazi M Hassan, MD

Individual provider Active NPI Interventional Pain Medicine Physician · St Petersburg, FL

NPI 1801909296 · NPPES record last updated Sep 16, 2015

Key facts

NPI
1801909296
Entity type
Individual (NPI type 1)
Primary specialty
Interventional Pain Medicine Physician 208VP0014X
License
ME66904 (FL)
Practice address
6333 54TH Ave N
St Petersburg, FL 33709-1703
Phone
(727) 548-6100
NPI assigned
Aug 17, 2006
Sex
Male
Sole proprietor
No

Organizations & group practices 9

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.

Medicare Care Compare profile

Specialty
Interventional Pain Management
Also: Anesthesiology
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tampa Bay Anesthesia, LLC (2 clinicians)
Florida Medical Pain Management LLC (5 clinicians)

Practice addresses (Care Compare)

6321 54TH Ave N
St Petersburg, FL 33709-1703
Phone (727) 548-6100

6333 54TH Ave N
St Petersburg, FL 33709-1703
Phone (727) 548-6100

Medicare participation

Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20090318000609 FL Practitioner - Interventional Pain Management
Practitioner - Anesthesiology
2466487046 Reassigns benefits to 2 organizations

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

Practice roles (8 of 10)

OrganizationSpecialtyStatusNew patients
Florida Specialty Surgery Center LLC Interventional Pain Medicine Current
since Jul 1, 2008
Accepting new patients
Florida Medical Pain Management LLC Interventional Pain Medicine Current
since Jan 1, 2009
Accepting new patients
West Coast Surgical Center LLC Current Accepting new patients
Florida Medical Pain Management LLC Past Accepting new patients
Anesthesia Associates of Western Florida LLC Anesthesiology Past
since Mar 23, 2009
Accepting new patients
Florida Pain Management Interventional Pain Medicine Past
since Jul 2, 2001
Accepting new patients
Florida Medical Pain Management Anesthesiology Past Accepting new patients
Florida Medical Pain Management Anesthesiology Past Accepting new patients

Locations

8139 State Road 54
New Port Richey, FL 34655
Phone (727) 375-0600

5270 Applegate Dr
Spring Hill, FL 34606
Phone (352) 340-5990

6345 54th Ave N
St Petersburg, FL 33709
Phone (727) 548-6100

6333 54th Ave N
St Petersburg, FL 33709
Phone (727) 548-6100

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/11884/brand/1/csg/1/fhir/r4

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X ME66904 FL
Anesthesiology Physician 207L00000X ME66904 FL
Interventional Pain Medicine Physician 208VP0014X ME66904 FL Yes

Addresses

Primary practice location

6333 54TH Ave N
St Petersburg, FL 33709-1703

Mailing address

6333 54TH Ave N
St Petersburg, FL 33709-1703
Phone (727) 548-6100

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Sep 16, 2015.

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442361600000",
    "number": "1801909296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6333 54TH AVE N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337091703",
            "telephone_number": "727-548-6100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6333 54TH AVE N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337091703",
            "telephone_number": "727-548-6100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HASSAN",
        "first_name": "KAZI",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-17",
        "last_updated": "2015-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "FL",
            "license": "ME66904",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "FL",
            "license": "ME66904",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "FL",
            "license": "ME66904",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

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Sources for this page

Verify at the official NPI Registry.