Individual provider Active NPI

Shahnaz Ann Kazi, MD

  • Family Medicine Physician
  • Pinellas Park, FL
National Provider Identifier
1932490240
Registry record updated Mar 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME125505 Issued in FL
Practice address
7322 US Highway 19 N
Pinellas Park, FL 33781-4600
Phone
(727) 349-4981
Fax
(888) 830-1631
NPI assigned
Apr 21, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD2015-0221 NM
Family Medicine Physician 207Q00000X ME125505 FL Primary

Addresses

Primary practice location

7322 US Highway 19 N
Pinellas Park, FL 33781-4600

Mailing address

PO Box 10744
Clearwater, FL 33757-8744
Phone (727) 532-0002

Other practice location 1

5405 Park St N
St Petersburg, FL 33709-1044
Phone (727) 547-8425

Other identifiers 2

IdentifierTypeStateIssuer
P01659239OtherFLRAILROAD MEDICARE PROVIDER NUMBER
015638400MedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address shahnaz.kazi.1@29601.direct.athenahealth.com

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
I20151030000199 FL Practitioner - Family Practice 4284869264 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Chicago, Pritzker School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Conviva Medical Center Management, LLCGroup PAC ID 4284717422, 507 clinicians

Practice addresses (Care Compare)

2812 Saint Marks Dr
Dunedin, FL 34698-1926
Phone (727) 328-4633

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME125505FLMDFamily Medicine Physician
MD2015-0221NMMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Conviva Medical Center Management LLC Family Medicine CurrentSince Jun 19, 2023 Accepting new patients

Locations

2812 Saint Marks Dr
Dunedin, FL 34698
Phone (727) 328-4633

5238 Norwood Ave
#16
Jacksonville, FL 32208
Phone (904) 265-2050

4960 SW 72nd Ave
Ste 406
Miami, FL 33155

7322 US Highway 19 N
Pinellas Park, FL 33781
Phone (727) 373-4401

5405 Park St N
St Petersburg, FL 33709
Phone (727) 544-1827

7867 Palm River Rd
Tampa, FL 33619
Phone (813) 868-8997

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1303344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774396800000",
    "number": "1932490240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10744",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337578744",
            "telephone_number": "727-532-0002",
            "fax_number": "727-266-4943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7322 US HIGHWAY 19 N",
            "city": "PINELLAS PARK",
            "state": "FL",
            "postal_code": "337814600",
            "telephone_number": "727-349-4981",
            "fax_number": "888-830-1631"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5405 Park St N",
            "address_purpose": "LOCATION",
            "city": "St Petersburg",
            "state": "FL",
            "postal_code": "337091044",
            "country_code": "US",
            "telephone_number": "727-547-8425",
            "fax_number": "813-635-2699",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KAZI",
        "first_name": "SHAHNAZ",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-21",
        "last_updated": "2026-03-25",
        "certification_date": "2026-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NM",
            "license": "MD2015-0221",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME125505",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PROVIDER NUMBER",
            "identifier": "P01659239",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "015638400",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "shahnaz.kazi.1@29601.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "shahnaz.kazi.1@29601.direct.athenahealth.com",
            "address_1": "7322 US Highway 19 N",
            "city": "Pinellas Park",
            "state": "FL",
            "country_code": "US",
            "postal_code": "337814600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pinellas Park, FL

Sources for this page

Verify at the official NPI Registry.