Organization Active NPI

Vitreo Retinal Associates PA

  • Ophthalmology Physician
  • Gainesville, FL
National Provider Identifier
1962626945
Registry record updated Jun 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
VITREO RETINAL ASSOCIATES PA
Practice address
4340 W Newberry Rd Ste 202
Gainesville, FL 32607-2557
Phone
(352) 371-2800
Fax
(352) 378-7009
NPI assigned
Apr 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2026

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

Authorized official

Name
Dr. Kaushik M Hazariwala, MDNPI 1891748430
Title
Physician
Phone
(352) 371-2800

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X Primary

Addresses

Primary practice location

4340 W Newberry Rd Ste 202
Gainesville, FL 32607-2557

Mailing address

4340 W Newberry Rd
Suite 202
Gainesville, FL 32607-2586
Phone (352) 371-2800

Other practice location 1

10238 SW 86th Cir Unit 100
Ocala, FL 34481-7625
Phone (352) 867-0045

Other practice location 2

438 SW Perimeter Gln
Lake City, FL 32025-0497
Phone (386) 754-0999

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address khazariwala@vrapa.intellechartdirect.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040512001525 FL Part B Supplier - Clinic/Group Practice 6103816285 Receives reassigned benefits from 4 practitioners
Practice locations: Gainesville, FL; Lake City, FL; Ocala, FL

National Provider Directory

National Provider Directory

Locations

4340 Newberry Rd
Ste 202
Gainesville, FL 32607
Phone (352) 371-2800

438 SW Perimeter Gln
#101
Lake City, FL 32025
Phone (386) 754-0999

10238 SW 86th Cir
Unit 100
Ocala, FL 34481
Phone (352) 867-0045

2300 SE 17th St
Ste 103
Ocala, FL 34471
Phone (352) 867-0045

Interoperability endpoints

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

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781827200000",
    "number": "1962626945",
    "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 STE 202",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326072557",
            "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": {
        "organization_name": "VITREO RETINAL ASSOCIATES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-12",
        "last_updated": "2026-06-19",
        "certification_date": "2026-06-19",
        "status": "A",
        "authorized_official_last_name": "HAZARIWALA",
        "authorized_official_first_name": "KAUSHIK",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "352-371-2800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "khazariwala@vrapa.intellechartdirect.net",
            "affiliation": "N",
            "address_1": "4340 W Newberry Rd Ste 202",
            "city": "Gainesville",
            "state": "FL",
            "country_code": "US",
            "postal_code": "326072557",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.