Active NPI
James J Kiyak, M.D.
- Obstetrics Physician
- Toledo, OH
National Provider Identifier
1164530333
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics Physician
- License
- 44532
- Practice address
- 2213 Franklin Ave
Toledo, OH 43620-1402 - Phone
- (419) 251-2395
- Fax
- (419) 251-2401
- NPI assigned
- Aug 28, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gynecology Physician | 207VG0400X | 44532 | WI | |
| Obstetrics Physician | 207VX0000X | 44532 | WI | Primary |
Addresses
Primary practice location
2213 Franklin Ave
Toledo, OH 43620-1402
Mailing address
2213 Franklin Ave
Toledo, OH 43620-1402
Phone (419) 251-2395
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 34274200 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 44532 | WI | MD | Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Holy Family Memorial Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- General Acute Care Hospital
- Manitowoc, WI
- NPI 1700998697
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156723200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1709596800000",
"number": "1164530333",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2213 FRANKLIN AVE",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436201402",
"telephone_number": "419-251-2395",
"fax_number": "419-251-2401"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2213 FRANKLIN AVE",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436201402",
"telephone_number": "419-251-2395",
"fax_number": "419-251-2401"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIYAK",
"first_name": "JAMES",
"middle_name": "J",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-28",
"last_updated": "2024-03-05",
"certification_date": "2022-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "207VG0400X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": "WI",
"license": "44532",
"primary": false
},
{
"code": "207VX0000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Obstetrics",
"state": "WI",
"license": "44532",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "34274200",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Toledo, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.