Individual provider Active NPI

Kevin Zasada, D.P.M

  • Foot & Ankle Surgery Podiatrist
  • Kissimmee, FL
National Provider Identifier
1932499431
Registry record updated Sep 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
P03479 Issued in FL
Practice address
302 W Bass St
Kissimmee, FL 34741-5001
Phone
(407) 343-4983
Fax
(407) 343-4705
NPI assigned
Apr 18, 2011
Last updated
Sep 24, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 24, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X P03479 FL Primary

Addresses

Primary practice location

302 W Bass St
Kissimmee, FL 34741-5001

Mailing address

302 W Bass St
Kissimmee, FL 34741-5001
Phone (407) 343-4983

Other identifiers 1

IdentifierTypeStateIssuer
PO3479OtherFLLISENCE

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111018000396 FL Practitioner - Podiatry 1355513268 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Soleil Surgical LLCGroup PAC ID 9931425444, 2 clinicians

Practice addresses (Care Compare)

1205 N Central Ave
Kissimmee, FL 34741-4407
Phone (407) 383-4983

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue303
Removal of skin lesions1-10
Removal of nail tissue102
Removal or shaving of skin growth24
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
P03479FLMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Modern Podiatry, PA CurrentSince Aug 20, 2016 Accepting new patients
Soleil Surgical LLC CurrentSince May 1, 2019 Accepting new patients
Advanced Agility Foot & Ankle, LLC Foot & Ankle Surgery Past Accepting new patients

Locations

1151 Miranda Ln
Kissimmee, FL 34741
Phone (407) 353-8680

1205 N Central Ave
Kissimmee, FL 34741
Phone (407) 343-4983

720 W Oak St
Ste 170
Kissimmee, FL 34741
Phone (407) 343-4983

720 W Oak St
Ste 210
Kissimmee, FL 34741
Phone (407) 343-4983

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1303084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790208000000",
    "number": "1932499431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 W BASS ST",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347415001",
            "telephone_number": "407-343-4983",
            "fax_number": "407-343-4705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 W BASS ST",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347415001",
            "telephone_number": "407-343-4983",
            "fax_number": "407-343-4705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZASADA",
        "first_name": "KEVIN",
        "name_prefix": "Dr.",
        "credential": "D.P.M",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-04-18",
        "last_updated": "2026-09-24",
        "certification_date": "2026-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "FL",
            "license": "P03479",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LISENCE",
            "identifier": "PO3479",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kissimmee, FL

Sources for this page

Verify at the official NPI Registry.