Active NPI
William J Kaiser, MD
- Vascular Surgery Physician
- Pensacola, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- License
- ME146721
- Practice address
- 5149 N 9TH Ave Ste 120
Pensacola, FL 32504-8734 - Phone
- (850) 479-1805
- Fax
- (850) 479-1829
- NPI assigned
- Mar 2, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular Surgery Physician | 2086S0129X | 034166 | GA | |
| Vascular Surgery Physician | 2086S0129X | ME146721 | FL | Primary |
Addresses
Primary practice location
5149 N 9TH Ave Ste 120
Pensacola, FL 32504-8734
Mailing address
PO Box 11982
Pensacola, FL 32524-1982
Phone (850) 479-1805
Other practice location 1
1007 Greenfield Dr
Tifton, GA 31794-3795
Phone (229) 382-9733
Other practice location 2
1641 Madison Ave
Tifton, GA 31794-3757
Phone (229) 353-2284
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 205810921B | Medicaid | GA | |
| 205810921A | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- New York Medical College, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1641 Madison Ave
Tifton, GA 31794-3757
Phone (229) 535-2285
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.02 of 100
- Quality
- 57.87
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 75.97
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Spinal fusion | 1-10 |
| Varicose vein removal | 1-10 |
| Leg revascularization (restoring blood flow) | 23 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tift Regional Health System Inc | Current | Accepting new patients | |
| Tift Regional Health System Inc | Current | Accepting new patients | |
| Douglas Vascular Center, LLC | Current | Accepting new patients | |
| Tift Regional Health System Inc | Current | Accepting new patients | |
| Tift Regional Health System Inc | Vascular Surgery | Current | Accepting new patients |
| Tift Regional Health System Inc | Current | Accepting new patients | |
| Tift Regional Health System Inc. | Past | Accepting new patients |
Locations
3001 Palm Harbor Blvd
Ste A
Palm Harbor, FL 34683
260 Mj Taylor Rd
Adel, GA 31620
Phone (229) 247-2290
326 Shirley Ave
Douglas, GA 31533
Phone (404) 606-2069
901 18th St E
Tifton, GA 31794
Phone (229) 353-6208
1622 Madison Ave
Tifton, GA 31794
Phone (229) 387-8061
1641 Madison Ave
Tifton, GA 31794
Phone (229) 353-2284
907 18th St E
Ste 400
Tifton, GA 31794
1007 Greenfield Dr
Tifton, GA 31794
Phone (229) 382-9733
2225 US Highway 41 N
Tifton, GA 31794
Phone (229) 353-3422
2227 US Highway 41 N
Tifton, GA 31794
Phone (229) 353-6188
Interoperability endpoints
- william.kaiser@trhs.cernerdirect.com
- wkaiser@cvi.curemd.direct-ci.com
Organizations & group practices 7
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.
-
dba Southwell Mobile Clinic
- Family Medicine Physician
- Tifton, GA
- NPI 1881203305
-
- Medical Specialty Clinic/Center
- Douglas, GA
- NPI 1619244555
-
dba WorkSmart Occupational Medicine
- Clinic/Center
- Tifton, GA
- NPI 1003980996
-
dba Tift Regional Vascular
- Vascular Surgery Physician
- Tifton, GA
- NPI 1184080079
-
dba Tift Regional Ophthalmology
- Ophthalmology Physician
- Tifton, GA
- NPI 1790280857
-
dba Arthritis and Osteoporosis Center
- Rheumatology Physician
- Tifton, GA
- NPI 1821281494
-
dba Tift Regional Medical Center
- General Acute Care Hospital
- Tifton, GA
- NPI 1962462226
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Tift Regional Medical Center
- General Acute Care Hospital
- Tifton, GA
- NPI 1962462226
-
dba Southwell Medical
- General Acute Care Hospital
- Adel, GA
- NPI 1568410264
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141257600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1620864000000",
"number": "1003883612",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 11982",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325241982",
"telephone_number": "850-479-1805",
"fax_number": "850-479-1829"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5149 N 9TH AVE STE 120",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325048734",
"telephone_number": "850-479-1805",
"fax_number": "850-479-1829"
}
],
"practiceLocations": [
{
"address_1": "1007 Greenfield Dr",
"address_purpose": "LOCATION",
"city": "Tifton",
"state": "GA",
"postal_code": "317943795",
"country_code": "US",
"telephone_number": "229-382-9733",
"fax_number": "229-387-6161",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1641 Madison Ave",
"address_purpose": "LOCATION",
"city": "Tifton",
"state": "GA",
"postal_code": "317943757",
"country_code": "US",
"telephone_number": "229-353-2284",
"fax_number": "229-353-2284",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KAISER",
"first_name": "WILLIAM",
"middle_name": "J",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-02",
"last_updated": "2021-05-13",
"certification_date": "2021-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "GA",
"license": "034166",
"primary": false
},
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "FL",
"license": "ME146721",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "205810921B",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "205810921A",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pensacola, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2021; 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.