NPIMap

Individual provider Active NPI

Daniel Joseph Kazmierski, M.D.

  • Family Medicine Physician
  • Scranton, PA
National Provider Identifier
1154412138
Registry record updated Nov 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD048304L Issued in PA
Practice address
1789 N Keyser Ave
Scranton, PA 18508-1250
Phone
(570) 969-1904
Fax
(570) 207-5314
NPI assigned
Sep 27, 2006
Last updated
Nov 23, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD048304L PA Primary

Addresses

Primary practice location

1789 N Keyser Ave
Scranton, PA 18508-1250

Mailing address

1789 N Keyser Ave
Scranton, PA 18508-1250
Phone (570) 969-1904

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address daniel.kazmierski.1@21771.direct.athenahealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20071109000023 PA Practitioner - Family Practice 2466540422 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Temple University School of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1789 N Keyser Ave
Scranton, PA 18508-1250
Phone (570) 558-8660

315 S Main St
Old Forge, PA 18518-1606
Phone (570) 457-8364

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.17 of 100Reported as apm
Quality
78.34
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD048304LPAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Department of Military Affairs Commonwealth of Pennsylvania CurrentSince Sep 14, 2007 Accepting new patients
Department of Military Commonwealth of Pennsylvania CurrentSince Sep 14, 2007 Accepting new patients
Scranton Quincy Clinic Company LLC Family Medicine CurrentSince Jan 29, 2019 Accepting new patients
PA Department of Military and Veterans Affairs Current Accepting new patients

Locations

150 Brooklyn St
Carbondale, PA 18407
Phone (570) 282-2031

315 S Main St
Old Forge, PA 18518
Phone (570) 457-8364

1789 N Keyser Ave
Scranton, PA 18508
Phone (570) 969-1904

401 Penn Ave
Scranton, PA 18503
Phone (570) 961-4300

Interoperability endpoints

  • Direct secure messaging: daniel.kazmierski.1@21771.direct.athenahealth.com

Ownership & related parties

All facility ownership & control disclosures 1

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

FacilityTypeRoleSince
Traditional HospiceDunmore, PA, CCN 391701 Hospice Contracted Managing Employee (50%) Mar 18, 2008

Owned or controlled facilities with NPI records 1

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

Organizations & group practices 4

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.

Hospital & facility affiliations 67

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

View all 67

NPI Registry JSON

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637625600000",
    "number": "1154412138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1789 N KEYSER AVE",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185081250",
            "telephone_number": "570-969-1904",
            "fax_number": "570-969-2916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1789 N KEYSER AVE",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185081250",
            "telephone_number": "570-969-1904",
            "fax_number": "570-207-5314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAZMIERSKI",
        "first_name": "DANIEL",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-27",
        "last_updated": "2021-11-23",
        "certification_date": "2021-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD048304L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "daniel.kazmierski.1@21771.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "AMR direct address",
            "address_1": "1789 N Keyser Ave",
            "city": "Scranton",
            "state": "PA",
            "country_code": "US",
            "postal_code": "185081250",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Scranton, PA

Sources for this page

Verify at the official NPI Registry.