Active NPI
John C. Kairys, M.D.
- Surgery Physician
- Philadelphia, PA
National Provider Identifier
1043230733
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- MD042657L
- Practice address
- 1100 Walnut St
Suite 500
Philadelphia, PA 19107-5563 - Phone
- (215) 955-5528
- Fax
- (215) 503-8505
- NPI assigned
- Jul 19, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | MD042657L | PA | Primary |
Addresses
Primary practice location
1100 Walnut St
Suite 500
Philadelphia, PA 19107-5563
Mailing address
1100 Walnut St
Suite 500
Philadelphia, PA 19107-5563
Phone (215) 955-8666
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7585403 | Medicaid | NJ | |
| 001409700 | Medicaid | PA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jkairys5439@direct.jeffhsx.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1659398400000",
"number": "1043230733",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1100 WALNUT ST",
"address_2": "SUITE 500",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191075563",
"telephone_number": "215-955-8666",
"fax_number": "215-503-8505"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 WALNUT ST",
"address_2": "SUITE 500",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191075563",
"telephone_number": "215-955-5528",
"fax_number": "215-503-8505"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAIRYS",
"first_name": "JOHN",
"middle_name": "C.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-19",
"last_updated": "2022-08-02",
"certification_date": "2022-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "PA",
"license": "MD042657L",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7585403",
"state": "NJ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001409700",
"state": "PA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jkairys5439@direct.jeffhsx.org",
"affiliation": "N",
"endpointDescription": "John Kairys, MD FACS, Endocrine Surgery, Jefferson Health",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1100 Walnut St",
"address_2": "Suite 500",
"city": "Philadelphia",
"state": "PA",
"country_code": "US",
"postal_code": "191075563",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2022; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.