Thanmayi Kaza, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

75570 Issued in WI

Practice address

2600 S Heritage Woods Dr
Appleton, WI 54915-1408

Phone

(920) 225-7875

Fax

(920) 993-5003

NPI assigned

Mar 27, 2017

Last updated

Dec 29, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family PracticeAlso: Hospice/Palliative Care

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Advanced Rehabilitation Care, LLCGroup PAC ID 8628253259, 21 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Compassus Wausau Hospice, Plover, WI, CCN 521532

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: thanmayi.kaza@337248305217540.direct.elationemr.com

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Compassus Aah of Wisconsin IV, LLC

  dba Compassus - Wausau

  • Community Based Hospice Care Agency
  • Plover, WI
  • NPI 1114534344

  Contracted Managing Employee

  CMS ownership
• State of Wisconsin

  dba The Wisconsin Veterans Home At King

  • Skilled Nursing Facility
  • King, WI
  • NPI 1366439986

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

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.

• Advanced Rehabilitation Care, LLC

  • Physical Medicine & Rehabilitation Physician
  • Chicago, IL
  • NPI 1285942722

  WI

  Medicare reassignment Care Compare group NPD
• Oneida Nation

  • Clinic/Center
  • Oneida, WI
  • NPI 1740278308
  Medicare reassignment NPD
• Oneida Nation

  dba Anna John Resident Centered Care Community

  • Skilled Nursing Facility
  • Oneida, WI
  • NPI 1407916174
  NPD (past)

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

• Compassus Aah of Wisconsin IV, LLC

  dba Compassus - Wausau

  • Community Based Hospice Care Agency
  • Plover, WI
  • NPI 1114534344
  Care Compare affiliation

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

{
    "created_epoch": "1490572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640736000000",
    "number": "1053842492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 S HERITAGE WOODS DR",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549151408",
            "telephone_number": "920-225-7875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 S HERITAGE WOODS DR",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549151408",
            "telephone_number": "920-225-7875",
            "fax_number": "920-993-5003"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Woodruff Cir NE",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303227732",
            "country_code": "US",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KAZA",
        "first_name": "THANMAYI",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-03-27",
        "last_updated": "2021-12-29",
        "certification_date": "2021-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WI",
            "license": "75570",
            "primary": true
        },
        {
            "code": "207QH0002X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Hospice and Palliative Medicine",
            "state": "WI",
            "license": "75570",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peter J Katz, MD
• Abby Imelda Kaufman, MS, ATC/LAT
• B. Kaufmann, L.P.N.
• Patricia Kautz
• Jenna Lynn Kautzer, MD
• Lauren M Kazik, LPC
• Amber S Keel Endemann, COTA
• Hillary Marie Keeler, NP-C
• Michael Keeney, PHARMD, RPH
• Beth Ann Keesler, OTR

• Family Medicine Physician in Appleton, WI
• Providers in Appleton, WI by specialty
• Family Medicine Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.

Verify at the official NPI Registry.