Individual provider Active NPI

Scott D. Kazdan, D.O.

  • Sports Medicine (Neuromusculoskeletal Medicine) Physician
  • Pembroke Pines, FL
National Provider Identifier
1851305635
Registry record updated Nov 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Neuromusculoskeletal Medicine) PhysicianTaxonomy code 204C00000X
License
OS0006354 Issued in FL
Practice address
601 N Flamingo Rd
209
Pembroke Pines, FL 33028-1015
Phone
(954) 442-7616
Fax
(954) 442-6234
NPI assigned
Jul 28, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 9, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Neuromusculoskeletal Medicine) Physician 204C00000X OS0006354 FL Primary

Addresses

Primary practice location

601 N Flamingo Rd
209
Pembroke Pines, FL 33028-1015

Mailing address

601 N Flamingo Rd
209
Pembroke Pines, FL 33028-1015
Phone (954) 442-7616

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
I20110217000537 FL Practitioner - Orthopedic Surgery 3577457944 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
All-Pro Orthopedics and Sports Medicine PAGroup PAC ID 5092960898, 3 clinicians

Practice addresses (Care Compare)

17779 SW 2ND St
Pembroke Pines, FL 33029-3924
Phone (954) 322-1110

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS0006354FLMDSports Medicine (Neuromusculoskeletal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
All-Pro Orthopedics and Sports Medicine PA CurrentSince Apr 10, 2025 Accepting new patients
The Heart Institute of Venice PLLC CurrentSince Nov 1, 2024 Accepting new patients

Locations

1435 W 49th Pl
Ste 402
Hialeah, FL 33012
Phone (305) 907-8526

7100 W 20th Ave
Ste 412
Hialeah, FL 33016
Phone (954) 322-1110

17779 SW 2nd St
Pembroke Pines, FL 33029
Phone (954) 322-1110

1370 E Venice Ave
Ste 102
Venice, FL 34285

Organizations & group practices 3

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": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1289260800000",
    "number": "1851305635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 N FLAMINGO RD",
            "address_2": "209",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330281015",
            "telephone_number": "954-442-7616",
            "fax_number": "954-442-6234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 N FLAMINGO RD",
            "address_2": "209",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330281015",
            "telephone_number": "954-442-7616",
            "fax_number": "954-442-6234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAZDAN",
        "first_name": "SCOTT",
        "middle_name": "D.",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-28",
        "last_updated": "2010-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204C00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine, Sports Medicine",
            "state": "FL",
            "license": "OS0006354",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke Pines, FL

Sources for this page

Verify at the official NPI Registry.