NPIMap

Individual provider Active NPI

Zurab Tsereteli, MD

  • Surgery Physician
  • Hays, KS
National Provider Identifier
1063516243
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
04-32408 Issued in KS
Practice address
2500 Canterbury Dr
Hays, KS 67601-2247
Phone
(785) 623-5945
Fax
(785) 623-5949
NPI assigned
Sep 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X T2006018043 MO
Surgery Physician 208600000X 04-32408 KS Primary

Addresses

Primary practice location

2500 Canterbury Dr
Hays, KS 67601-2247

Mailing address

2500 Canterbury Dr
Hays, KS 67601-2247
Phone (785) 623-5945

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070710000332 KS Practitioner - General Surgery 5193825925 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hays Medical Center IncGroup PAC ID 1557279676, 188 clinicians

Practice addresses (Care Compare)

2500 Canterbury Dr
Suite 202
Hays, KS 67601-2281
Phone (785) 623-5945

Hospital & facility affiliations

  • Hays Medical Center Hospital, Hays, KS, CCN 170013
  • Graham County Hospital Hospital, Hill City, KS, CCN 171325
  • Trego County Lemke Memorial Hospital Hospital, Wakeeney, KS, CCN 171355
  • Phillips County Hospital Hospital, Phillipsburg, KS, CCN 171353
  • Rooks County Health Center Hospital, Plainville, KS, CCN 171311

Merit-based Incentive Payment System (MIPS)

Final score
85.72 of 100Reported as apm
Quality
68.82
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion1-10
Colonoscopy139
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)12
Prostate resection1-10
Upper gastrointestinal (GI) endoscopy for acid reflux132
Removal of tissue67
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
04-32408KSMDSurgery Physician
T2006018043MOMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hays Medical Center, Inc. CurrentSince Jan 30, 2024 Accepting new patients
Hays Medical Center, Inc CurrentSince Jan 30, 2024 Accepting new patients
Hays Medical Center, Inc. Current Accepting new patients
Hays Medical Center, Inc. Surgery Past Accepting new patients
Hays Medical Center Inc Past Accepting new patients
Pawnee Valley Community Hospital Inc Past Accepting new patients

Locations

2500 Canterbury Dr
Ste 202
Hays, KS 67601
Phone (785) 623-5945

2220 Canterbury Dr
Hays, KS 67601
Phone (785) 623-5000

Interoperability endpoints

  • Direct secure messaging: zurab.tsereteli.1@16187.direct.athenahealth.com
  • Direct secure messaging: zurab.tsereteli@haysmeddirect.com

Organizations & group practices 6

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.

Hospital & facility affiliations 6

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": "1157932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1063516243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 CANTERBURY DR",
            "city": "HAYS",
            "state": "KS",
            "postal_code": "676012247",
            "telephone_number": "785-623-5945",
            "fax_number": "785-623-5949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 CANTERBURY DR",
            "city": "HAYS",
            "state": "KS",
            "postal_code": "676012247",
            "telephone_number": "785-623-5945",
            "fax_number": "785-623-5949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TSERETELI",
        "first_name": "ZURAB",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MO",
            "license": "T2006018043",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "KS",
            "license": "04-32408",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hays, KS

Sources for this page

Verify at the official NPI Registry.