Individual provider Active NPI

Caleb Earl Kiser, DNAP, CRNA

  • Anesthesiology Physician
  • Rochester, NY
National Provider Identifier
1013535616
Registry record updated Apr 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
AP61076820 Issued in WA
Practice address
1425 Portland Ave
Rochester, NY 14621-3011
Phone
(585) 922-4159
Fax
(585) 922-3731
NPI assigned
Jul 9, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 9, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 973706 NY
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207L00000X AP61076820 WA Primary

Addresses

Primary practice location

1425 Portland Ave
Rochester, NY 14621-3011

Mailing address

611 Sunnyside Blvd SE
Lake Stevens, WA 98258-3108
Phone (402) 612-8173

Other practice location 1

1200 Driving Park Ave
Newark, NY 14513-1090
Phone (315) 332-2170

Other practice location 2

1555 Long Pond Rd
Rochester, NY 14626-4164
Phone (585) 723-7000

Other practice location 3

2 Coulter Rd
Clifton Springs, NY 14432-1122
Phone (315) 462-1417

Other practice location 4

10 Commerce Dr
New Rochelle, NY 10801-5253
Phone (877) 476-6642 ext. 2086

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, NC, NY, IA4 enrollments

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20201020000486 WA Practitioner - Certified Registered Nurse Anesthetist (Crna) 1951721687 Reassigns benefits to 1 organization
I20230508001131 NC Practitioner - Certified Registered Nurse Anesthetist (Crna) 1951721687 Reassigns benefits to 1 organization
I20250415001631 NY Practitioner - Certified Registered Nurse Anesthetist (Crna) 1951721687 Reassigns benefits to 5 organizations
I20251222000225 IA Practitioner - Certified Registered Nurse Anesthetist (Crna) 1951721687 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Trinity Regional Medical CenterGroup PAC ID 7315858529, 170 clinicians

Practice addresses (Care Compare)

802 Kenyon Rd
Fort Dodge, IA 50501-5740
Phone (515) 573-3101

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
7137NCMDCounselor
AP61076820WAMDAnesthesiology Physician
973706NYMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Clifton Springs Sanitarium Co Single Specialty CurrentSince Feb 8, 2025 Accepting new patients
Trinity Regional Medical Center Single Specialty CurrentSince Jan 12, 2026 Accepting new patients
Newark Wayne Community Hospital Single Specialty CurrentSince Feb 8, 2025 Accepting new patients
American Anesthesiology of North Carolina, PLLC Single Specialty CurrentSince Jun 1, 2023 Accepting new patients
Providence Wa Anesthesia Services, P.C. Single Specialty CurrentSince Oct 1, 2020 Accepting new patients
The Unity Hospital of Rochester Single Specialty Current Accepting new patients
American Anesthesiology of North Carolina, PLLC Anesthesiology CurrentSince Jun 1, 2023 Accepting new patients
Rochester General Hospital CurrentSince Feb 8, 2025 Accepting new patients
Rochester General Hospital Single Specialty Current Accepting new patients
Newark Wayne Community Hospital Single Specialty CurrentSince Feb 8, 2025 Accepting new patients
United Memorial Medical Center Single Specialty CurrentSince Feb 8, 2025 Accepting new patients
The Unity Hospital of Rochester Single Specialty CurrentSince Feb 8, 2025 Accepting new patients
Rochester General Hospital Single Specialty CurrentSince Feb 8, 2025 Accepting new patients
United Memorial Medical Center Single Specialty CurrentSince Feb 8, 2025 Accepting new patients

Locations

802 Kenyon Rd
Fort Dodge, IA 50501
Phone (515) 574-6565

4420 Lake Boone Trl
Raleigh, NC 27607
Phone (919) 784-3034

3100 Spring Forest Rd
Ste 130
Raleigh, NC 27616
Phone (919) 882-0705

16 Bank St
Batavia, NY 14020
Phone (585) 344-4800

127 North St
Batavia, NY 14020
Phone (585) 267-7510

2 Coulter Rd
Clifton Springs, NY 14432
Phone (315) 462-1472

1305 Walt Whitman Rd
Ste 300
Melville, NY 11747
Phone (516) 370-3796

1200 Driving Park Ave
Newark, NY 14513
Phone (315) 332-2266

1425 Portland Ave
Rochester, NY 14621
Phone (585) 922-3122

1555 Long Pond Rd
Rochester, NY 14626
Phone (585) 429-2289

100 Kings Hwy S
Rochester, NY 14617
Phone (585) 922-0553

1321 Colby Ave
Everett, WA 98201
Phone (425) 259-4413

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1594252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744156800000",
    "number": "1013535616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 SUNNYSIDE BLVD SE",
            "city": "LAKE STEVENS",
            "state": "WA",
            "postal_code": "982583108",
            "telephone_number": "402-612-8173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1425 PORTLAND AVE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146213011",
            "telephone_number": "585-922-4159",
            "fax_number": "585-922-3731"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1200 Driving Park Ave",
            "address_purpose": "LOCATION",
            "city": "Newark",
            "state": "NY",
            "postal_code": "145131090",
            "country_code": "US",
            "telephone_number": "315-332-2170",
            "fax_number": "315-359-2488",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1555 Long Pond Rd",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "146264164",
            "country_code": "US",
            "telephone_number": "585-723-7000",
            "fax_number": "585-366-5133",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2 Coulter Rd",
            "address_purpose": "LOCATION",
            "city": "Clifton Springs",
            "state": "NY",
            "postal_code": "144321122",
            "country_code": "US",
            "telephone_number": "315-462-1417",
            "fax_number": "315-462-6058",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10 Commerce Dr",
            "address_purpose": "LOCATION",
            "city": "New Rochelle",
            "state": "NY",
            "postal_code": "108015253",
            "country_code": "US",
            "telephone_number": "877-476-6642 x2086",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KISER",
        "first_name": "CALEB",
        "middle_name": "EARL",
        "credential": "DNAP, CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-07-09",
        "last_updated": "2025-04-09",
        "certification_date": "2025-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NY",
            "license": "973706",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": "WA",
            "license": "AP61076820",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.