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
Medicare Care Compare profile
- Specialty
- Interventional Pain Management
- Education
- Other, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Tampa Bay Anesthesia, LLC
Florida Medical Pain Management LLC
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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090318000609 | FL | Practitioner - Interventional Pain Management |
2466487046 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles (8 of 10)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida Specialty Surgery Center LLC | Interventional Pain Medicine | Current |
Accepting new patients |
| Florida Medical Pain Management LLC | Interventional Pain Medicine | Current |
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 |
Accepting new patients |
| Florida Pain Management | Interventional Pain Medicine | Past |
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
- https://api.platform.athenahealth.com/11884/brand/1/csg/1/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
{
"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
- Saleh Hasan
- Robert Jones Hasbrouck
- Elias Hasbun
- Allison Dunn Haskell
- Kasey Haskins
- Kazi Zayn Hassan
- Krystal Vivienne Patricia Hassan
- David Michael Hassett
- Brian J Hatlelid
- Annmarie Hattala
All providers in St Petersburg, FL · Interventional Pain Medicine Physician in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 16, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.