Amit Razdan, MD

Primary specialty

Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X

License

ME103119 Issued in FL

Practice address

3515 E Fletcher Ave
Tampa, FL 33613-4706

Phone

(813) 974-8900

NPI assigned

Jun 19, 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

Medicare fee-for-service enrollment

Enrolled in MI

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

Psychiatry

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Gogebic County Community Mental Health AuthorityGroup PAC ID 9537128608, 7 clinicians

Northpointe Behavioral Healthcare SystemGroup PAC ID 4981652401, 7 clinicians

Copper Country Community Mental Health ServicesGroup PAC ID 8426119256, 9 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Up Health System Portage Hospital, Hancock, MI, CCN 230108

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Copper Country Community Mental Health Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Houghton, MI
  • NPI 1881607497
  Medicare reassignment Care Compare group NPD
• Gogebic County Community Mental Health Authority

  • Mental Health Counselor
  • Wakefield, MI
  • NPI 1912957143
  Medicare reassignment Care Compare group NPD
• Northpointe Behavioral Healthcare System

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Kingsford, MI
  • NPI 1205864881
  Medicare reassignment Care Compare group NPD
• Copper Country Community Mental Health Services

  • Community/Behavioral Health Agency
  • Ontonagon, MI
  • NPI 1780871137
  NPD
• Northpointe Behavioral Healthcare System

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Kingsford, MI
  • NPI 1205306354
  NPD

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

• Portage Hospital LLC

  • General Acute Care Hospital
  • Hancock, MI
  • NPI 1245667229
  Care Compare affiliation

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

{
    "created_epoch": "1150675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1243814400000",
    "number": "1992740252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 917770",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328917770",
            "telephone_number": "813-974-8900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3515 E FLETCHER AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336134706",
            "telephone_number": "813-974-8900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAZDAN",
        "first_name": "AMIT",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-19",
        "last_updated": "2009-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "FL",
            "license": "ME103119",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000759400",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "29893",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jorge Rayon, M.D.
• Raz Minds PLLC
• Opal Raza, PHARM.D.
• Husnia Razaqyar
• Niema Brandon Razavian, MD
• Imaduddin Razvi, M.D.
• Sumyia Razzak
• Elizabeth Razzano, LMHC
• Kirsten Erika Razzone, CCC-SLP
• RCS Medical Corp

• Child & Adolescent Psychiatry Physician in Tampa, FL
• Providers in Tampa, FL by specialty
• Child & Adolescent Psychiatry Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2009; 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.