Organization Active NPI

Kaynak Medical Services LLC

  • Cardiovascular Disease Physician
  • Yuma, AZ
National Provider Identifier
1134827462
Registry record updated Apr 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
KAYNAK MEDICAL SERVICES LLC
Practice address
1965 W 24TH St Ste B
Yuma, AZ 85364-6255
Phone
(928) 248-4617
Fax
(928) 248-5017
NPI assigned
Feb 16, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2023

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

Authorized official

Name
Zehra Kaynak
Title
Office Manager
Phone
(832) 573-5510

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X Primary

Addresses

Primary practice location

1965 W 24TH St Ste B
Yuma, AZ 85364-6255

Mailing address

1965 W 24TH St Ste B
Yuma, AZ 85364-6255
Phone (928) 248-4617

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230405002306 AZ Part B Supplier - Clinic/Group Practice 4981079936 Receives reassigned benefits from 2 practitioners
Practice locations: Yuma, AZ

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1676505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680566400000",
    "number": "1134827462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1965 W 24TH ST STE B",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853646255",
            "telephone_number": "928-248-4617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1965 W 24TH ST STE B",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853646255",
            "telephone_number": "928-248-4617",
            "fax_number": "928-248-5017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAYNAK MEDICAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-16",
        "last_updated": "2023-04-04",
        "certification_date": "2023-04-04",
        "status": "A",
        "authorized_official_last_name": "KAYNAK",
        "authorized_official_first_name": "ZEHRA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "832-573-5510"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yuma, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.