Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Keivan Gazy

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1225732357

Keivan Gazy is a Nurse Practitioner in Fulton, Maryland. Qualified in 2022, 4 years ago. Practices with Esno Health Group, a 5-clinician group and accepts Medicare assignment. Licensed in Maryland.

Years since qualifying
4
Licensed in
MD
In the registry since
2023

Practice location Address checks out

8115 Maple Lawn Blvd Ste 350
Fulton, MD 20759-2683
Phone: (240) 786-4527
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence R224515 (MD)

Record details

NPI number1225732357
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 30, 2023
Last updated in NPPESMarch 30, 2023
Certification dateMarch 30, 2023
Mailing address8115 Maple Lawn Blvd Ste 350, Fulton, MD 20759-2683

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Esno Health Group — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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