Active NPI
Richard Kazdin Maza, MD
- Internal Medicine Physician
- Clearwater, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- ME37253
- Practice address
- 3253 N McMullen Booth Rd
Suite 200
Clearwater, FL 33761-2043 - Phone
- (727) 725-6170
- Fax
- (727) 799-3511
- NPI assigned
- Jul 13, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | ME37253 | FL | Primary |
Addresses
Primary practice location
3253 N McMullen Booth Rd
Suite 200
Clearwater, FL 33761-2043
Mailing address
PO Box 25487
Sarasota, FL 34277-2487
Phone (941) 202-5342
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 065643700 | Medicaid | FL |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Ohio State University College of Medicine, 1969
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Sports and Orthopedic Rehabilitation Services Inc
Practice addresses (Care Compare)
3844 Bee Ridge Rd
Sarasota, FL 34233-1163
Phone (941) 379-8481
5347 Main St
Suite 202
New Port Richey, FL 34652-2520
Phone (727) 841-0515
Hospital & facility affiliations
- Pinnacle Home Care
- Empath Home Health
- Morton Plant Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME37253 | FL | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida Medical Specialists LLC | Current | Accepting new patients | |
| Florida Medical Specialists LLC | Internal Medicine | Current | Accepting new patients |
| Florida Medical Specialists LLC | Current | Accepting new patients | |
| Florida Medical Specialists LLC | Internal Medicine | Past | Accepting new patients |
| Bowman & Hampsey Mdspa | Internal Medicine | Past | Accepting new patients |
| Frederick Health Hospital Inc | Past | Accepting new patients | |
| Bowman & Hampsey Medical Clinic, Inc | Past | Accepting new patients |
Locations
3253 N McMullen Booth Rd
Ste 200
Clearwater, FL 33761
Phone (727) 725-6170
3844 Bee Ridge Rd
Sarasota, FL 34233
Phone (941) 315-6182
3830 Bee Ridge Rd
Ste 100
Sarasota, FL 34233
Phone (941) 921-0383
3830 Bee Ridge Rd
Ste 301
Sarasota, FL 34233
Phone (941) 923-1872
Networks
- Freedom Health HMO Network
- Optimum HealthCare HMO Network
Interoperability endpoints
- https://api.platform.athenahealth.com/967/brand/1/csg/1/fhir/r4
Organizations & group practices 7
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.
-
- Hematology & Oncology Physician
- Sarasota, FL
- NPI 1750399598
-
- Internal Medicine Physician
- Venice, FL
- NPI 1760028641
-
- Hematology & Oncology Physician
- Lakewood Ranch, FL
- NPI 1891419925
-
- Internal Medicine Physician
- Clearwater, FL
- NPI 1215042858
-
- Primary Care Clinic/Center
- Clearwater, FL
- NPI 1205264355
-
- Internal Medicine Physician
- Sarasota, FL
- NPI 1164795563
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Palm Harbor, FL
- NPI 1083010805
-
- General Acute Care Hospital
- Clearwater, FL
- NPI 1376529743
-
- Home Health Agency
- Oldsmar, FL
- NPI 1689600082
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121212800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707868800000",
"number": "1861490872",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 25487",
"city": "SARASOTA",
"state": "FL",
"postal_code": "342772487",
"telephone_number": "941-202-5342",
"fax_number": "941-202-5342"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3253 N MCMULLEN BOOTH RD",
"address_2": "SUITE 200",
"city": "CLEARWATER",
"state": "FL",
"postal_code": "337612043",
"telephone_number": "727-725-6170",
"fax_number": "727-799-3511"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAZA",
"first_name": "RICHARD",
"middle_name": "KAZDIN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-07-13",
"last_updated": "2024-02-14",
"certification_date": "2024-02-14",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "ME37253",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "065643700",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Clearwater, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.