KAIZAD P TAMBOLI M.D.
NPI 1881753986
Internal Medicine in St Petersburg, FL

Q: What is Kaizad Tamboli's NPI number?

The NPI number for Kaizad Tamboli is 1881753986. It was assigned to this individual provider in the NPPES registry on December 6, 2006.

Q: What is Kaizad Tamboli's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Kaizad Tamboli was last updated on October 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since December 06, 2006PECOS EnrolledAccepts Medicare Assignment

2805 54TH AVE N STE 500, ST PETERSBURG, FL 33714(305) 628-6117(305) 393-5989 Get Directions Write a Review

NPPES record last updated: October 29, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Kaizad P Tamboli M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KAIZAD P TAMBOLI M.D. (NPI 1881753986) is an individual internal medicine provider in St Petersburg, Florida, licensed in Florida (ME91603) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS, is affiliated with Merit Health Biloxi, and maintains a secondary practice location in Gulfport.

NPPES Registry Identity

NPI1881753986

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameKAIZAD P TAMBOLICredential: M.D.

Location Address2805 54TH AVE N STE 500St Petersburg, FL 33714-2414

Mailing Address1395 Nw 167th StMiami Gardens, FL 33169-5710 · (305) 628-6117 · Fax (305) 393-5989

Phone(305) 628-6117

Fax(305) 393-5989

Sole ProprietorYes

Medical School CMSOtherGraduated 1986

Enumeration DateDecember 6, 2006

Last NPPES UpdateOctober 29, 2021

NPPES CertifiedOctober 29, 2021

✔ NPI 1881753986 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

Licenses✔ Licensed in FL · ME91603✔ Licensed in MS · 12792

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

2805 54TH AVE N STE 500, St Petersburg, FL 33714

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Secondary Practice Location 1

Location 14333 15th St, Suite AGulfport, MS 39501-2525 · Phone (228) 863-4000 · Fax (228) 863-4003

Other Identifiers 1

Medicaid00121210MS

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kaizad P Tamboli M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2062502412

PECOS Enrollment IDI20080311000507, I20211101003047

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

Medicare enrollment records show Kaizad Tamboli reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Dedicated Senior Medical Center Of Florida, LLC

6.3 mi

Specialist

7050 ULMERTON RD
Largo, FL 33771

Reassigned Medicare billing, Florida enrollment
348 clinicians in this Medicare group

NPI 1659888741 (305) 628-6117

Memorial Hospital At Gulfport

416 mi

General Acute Care Hospital

90 INDUSTRIAL PARK CIR
Ocean Springs, MS 39564

Reassigned Medicare billing, Mississippi enrollment
731 clinicians in this Medicare group

NPI 1447869854 (228) 872-6290

Back & Neck Care Center LLC

422 mi

Chiropractor

2699 PASS RD
Biloxi, MS 39531

Reassigned Medicare billing, Mississippi enrollment
3 clinicians in this Medicare group

NPI 1427172303 (228) 385-0088

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 11

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

648 services246 patients

Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490

Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.

361 services48 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

315 services148 patients

Advance care planning, first 30 minutes 99497

Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.

165 services165 patients

Annual alcohol misuse screening, 5 to 15 minutes G0442

An annual alcohol misuse screening is a 15-minute check-up to assess your drinking habits. It helps identify if you're consuming alcohol in a way that could harm your health. This is not a judgment, but a tool to promote your wellbeing.

159 services159 patients

Annual depression screening, 5 to 15 minutes G0444

An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.

155 services155 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

154 services154 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

27 services25 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

17 services17 patients

Transitional care management services for problem of at least moderate complexity 99495

Transitional care management services focus on coordinating and managing your care after you leave the hospital. For moderate complexity problems, this involves managing your medications, arranging further treatments, and ensuring you have the necessary follow-ups.

16 services11 patients

Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or G2212

This service refers to extended doctor visits where your healthcare provider spends additional time evaluating and managing your health beyond the primary procedure's required time. This includes each extra 15 minutes spent by the physician on the same day as the primary service.

14 services14 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Merit Health Biloxi

Acute Care Hospitals · Biloxi, MS

2/5 CMS rating

OwnershipProprietary

CMS Certification Number250007

Location150 Reynoir StreetBiloxi, MS 39530 · Harrison County

Emergency services Birthing friendly

Memorial Hospital At Gulfport

Acute Care Hospitals · Gulfport, MS

2/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number250019

Location4500 13th StreetGulfport, MS 39502 · Harrison County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33714 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$130.04 typical visit price

range $56.00 – $171.84

Typical copayment $32.51 (range $14.00 – $42.96)

Most-billed visit code 99204

Established Patient

$99.16 typical visit price

range $17.57 – $139.16

Typical copayment $24.79 (range $4.39 – $34.79)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JULAINE BRAHAM MD

Internal Medicine