Active NPI
Carlos Tod Pairazaman
- Gerontology Nurse Practitioner
- Brandon, FL
National Provider Identifier
1922808286
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- APRN11038027
- Practice address
- 621 W Lumsden Rd
Brandon, FL 33511-5911 - Phone
- (813) 755-3500
- Fax
- (813) 755-3300
- NPI assigned
- Mar 17, 2025
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | APRN11038027 | FL | Primary |
Addresses
Primary practice location
621 W Lumsden Rd
Brandon, FL 33511-5911
Mailing address
114 Hampton Rd Apt 211
Clearwater, FL 33759-4110
Phone (405) 409-4991
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: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250325002940 | FL | Practitioner - Nurse Practitioner | 7618490103 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN11038027 | FL | MD | Gerontology Nurse Practitioner |
Practice roles (2 of 4)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sunshine Pulmonary and Sleep Medicine P.a. | Current | Accepting new patients | |
| Heart Vascular and Vein of Tampa Bay LLC | Current | Accepting new patients |
Locations
621 W Lumsden Rd
Brandon, FL 33511
Phone (813) 655-1100
10141 Big Bend Rd
Ste 201
Riverview, FL 33578
Phone (813) 684-3707
1901 Haverford Ave
Ste 111
Sun City Ctr, FL 33573
Phone (727) 231-0846
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Organizations & group practices 2
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.
-
- Cardiovascular Disease Physician
- Brandon, FL
- NPI 1518580307
FL
-
- Pulmonary Disease Physician
- Brandon, FL
- NPI 1780009548
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1742169600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1742169600000",
"number": "1922808286",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "114 HAMPTON RD APT 211",
"city": "CLEARWATER",
"state": "FL",
"postal_code": "337594110",
"telephone_number": "405-409-4991",
"fax_number": "813-755-3300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "621 W LUMSDEN RD",
"city": "BRANDON",
"state": "FL",
"postal_code": "335115911",
"telephone_number": "813-755-3500",
"fax_number": "813-755-3300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAIRAZAMAN",
"first_name": "CARLOS",
"middle_name": "TOD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-03-17",
"last_updated": "2025-03-17",
"certification_date": "2025-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "FL",
"license": "APRN11038027",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brandon, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2025; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.