Kaushik Mohanlal Hazariwala, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

ME0063988 Issued in FL

Practice address

4340 W Newberry Rd
Suite 202
Gainesville, FL 32607-2586

Phone

(352) 371-2800

Fax

(352) 378-7009

NPI assigned

May 17, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Electronic endpoints 1

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

Specialty

Ophthalmology

Education

Other, 1977

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Vitreo Retinal Associates PAGroup PAC ID 6103816285, 4 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

99.38 of 100Reported as group

Quality

98.75

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: khazariwala@vrapa.intellechartdirect.net

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.

• Vitreo Retinal Associates PA

  • Ophthalmology Physician
  • Gainesville, FL
  • NPI 1962626945
  Medicare reassignment Care Compare group NPD Authorized official
• Mid Michigan Eye Care Center, PC

  • Ophthalmology Physician
  • Jackson, MI
  • NPI 1649275041
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780358400000",
    "number": "1891748430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4340 W NEWBERRY RD",
            "address_2": "SUITE 202",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326072586",
            "telephone_number": "352-371-2800",
            "fax_number": "352-378-7009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4340 W NEWBERRY RD",
            "address_2": "SUITE 202",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326072586",
            "telephone_number": "352-371-2800",
            "fax_number": "352-378-7009"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10238 SW 86th Cir Unit 100",
            "address_purpose": "LOCATION",
            "city": "Ocala",
            "state": "FL",
            "postal_code": "344817625",
            "country_code": "US",
            "telephone_number": "352-867-0045",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "438 SW Perimeter Gln",
            "address_purpose": "LOCATION",
            "city": "Lake City",
            "state": "FL",
            "postal_code": "320250497",
            "country_code": "US",
            "telephone_number": "386-754-0999",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAZARIWALA",
        "first_name": "KAUSHIK",
        "middle_name": "MOHANLAL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-17",
        "last_updated": "2026-06-02",
        "certification_date": "2026-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME0063988",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "376594600",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID #",
            "identifier": "592046817",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "khazariwala@vrapa.intellechartdirect.net",
            "affiliation": "N",
            "address_1": "4340 W Newberry Rd",
            "address_2": "Suite 202",
            "city": "Gainesville",
            "state": "FL",
            "country_code": "US",
            "postal_code": "326072586",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Rose Fletcher Hayes, OTR/L
• Jaime Haynes, SW25339
• Patricia Hays
• Stacia Marie Hays, DNP, ARNP
• Mary Rachel Hazan, PA
• Johanna Hazellief
• Carolynn Hazen-Hamilton, DNP
• Kyle Hazen
• Gerald Hazouri, M.D.
• HCP Services, LLC

• Ophthalmology Physician in Gainesville, FL
• Providers in Gainesville, FL by specialty
• Ophthalmology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2026; 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.

Verify at the official NPI Registry.