Active NPI
Daniel Joseph Kazmierski, M.D.
- Family Medicine Physician
- Scranton, PA
National Provider Identifier
1154412138
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD048304L
- Practice address
- 1789 N Keyser Ave
Scranton, PA 18508-1250 - Phone
- (570) 969-1904
- Fax
- (570) 207-5314
- NPI assigned
- Sep 27, 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 |
|---|---|---|---|---|
| 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
Other identifiers 13
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11230 E476 | Other | PA | GEISINGER HEALTH PLAN |
| 001245 | Other | PA | FIRST PRIORITY HEALTHNEPA |
| 080041674 | Other | PA | RAILROAD MEDICARE |
| 734400 | Other | PA | FIRST PRIORITY LIFE |
| 0014126800001 | Medicaid | PA | |
| 010175800 | Other | PA | BLACK LUNG |
| 0536755 | Other | PA | AETNA |
| 242159 | Other | PA | HEALTH AMERICA |
| 0536755 | Other | PA | UNITED HEALTHCARE |
| 0638250000 | Other | PA | PABS PERSONAL CHOICE |
| 11230 E476 | Other | PA | GEISINGER GOLD |
| 734400 | Other | PA | PA BLUESHIELD |
| F52043 | Other | PA | STERLING |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Scranton Quincy Clinic Company LLC
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
- Traditional Home Health Care
- Allied Services Home Health
- Interim Healthcare Services of NE PA, Inc.
- Hospice of the Sacred Heart
- Traditional Hospice
- Geisinger-Community Medical Center
- Regional Hospital of Scranton
- Wilkes-Barre General Hospital
- Geisinger Medical Center
- Geisinger Wyoming Valley Medical Center
- Allied Services Institute of Rehabilitation
- Allied Services Skilled Nursing Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.17 of 100
- Quality
- 78.34
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Department of Military Affairs Commonwealth of Pennsylvania | Current | Accepting new patients | |
| PA Department of Military and Veterans Affairs | Current | Accepting new patients | |
| Department of Military Commonwealth of Pennsylvania | Current | Accepting new patients | |
| Scranton Quincy Clinic Company LLC | Family Medicine | 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
401 Penn Ave
Scranton, PA 18503
Phone (570) 961-4300
1789 N Keyser Ave
Scranton, PA 18508
Phone (570) 969-1904
Interoperability endpoints
- 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.
| Facility | Type | Role | Since |
|---|---|---|---|
| Traditional Hospice | 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.
-
- Community Based Hospice Care Agency
- Dunmore, PA
- NPI 1154500445
Contracted Managing Employee
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 and National Provider Directory roles.
-
- Family Medicine Physician
- Scranton, PA
- NPI 1508143074
Family Medicine, PA
-
- Nursing Facility/Intermediate Care Facility
- Philadelphia, PA
- NPI 1578672796
PA
-
- Long Term Care Pharmacy
- Scranton, PA
- NPI 1104181189
-
- Skilled Nursing Facility
- Scranton, PA
- NPI 1497734925
Hospital & facility affiliations 67
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Clarks Summit, PA
- NPI 1801893219
-
- Rehabilitation Hospital
- Scranton, PA
- NPI 1316944184
Inpatient rehabilitation facility
-
- Skilled Nursing Facility
- Scranton, PA
- NPI 1851398341
Nursing home
-
- Endocrinology, Diabetes & Metabolism Physician
- Scranton, PA
- NPI 1306439856
Hospital
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": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GEISINGER HEALTH PLAN",
"identifier": "11230 E476",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST PRIORITY HEALTHNEPA",
"identifier": "001245",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "080041674",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST PRIORITY LIFE",
"identifier": "734400",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0014126800001",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLACK LUNG",
"identifier": "010175800",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "0536755",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH AMERICA",
"identifier": "242159",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "0536755",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PABS PERSONAL CHOICE",
"identifier": "0638250000",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GEISINGER GOLD",
"identifier": "11230 E476",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PA BLUESHIELD",
"identifier": "734400",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STERLING",
"identifier": "F52043",
"state": "PA"
}
],
"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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 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.