Thomas C Kryzer Jr., M.D.

Primary specialty

Otology & Neurotology PhysicianTaxonomy code 207YX0901X

License

04-25112 Issued in KS

Practice address

9350 E Central Ave
Wichita, KS 67206-2555

Phone

(316) 686-6608

Fax

(316) 686-3624

NPI assigned

Jun 1, 2005

Last updated

Nov 21, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 6

Medicare fee-for-service enrollment

Enrolled in KS

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Wichita Ear Clinic, PA

  • Otology & Neurotology Physician
  • Wichita, KS
  • NPI 1518932011
  Medicare reassignment NPD

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

{
    "created_epoch": "1117584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668988800000",
    "number": "1194727453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9350 E CENTRAL AVE",
            "address_2": "N/A",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672062555",
            "telephone_number": "316-686-6608",
            "fax_number": "316-686-3624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9350 E CENTRAL AVE",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672062555",
            "telephone_number": "316-686-6608",
            "fax_number": "316-686-3624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRYZER",
        "first_name": "THOMAS",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-01",
        "last_updated": "2022-11-21",
        "certification_date": "2022-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207YX0901X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otology & Neurotology",
            "state": "KS",
            "license": "04-25112",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "040010621",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "041857",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100158980B",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHS-PPK",
            "identifier": "3257",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHAMPUS",
            "identifier": "48118525067206A002",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRSTGUARD",
            "identifier": "628540",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amanda J Kruse, LMSW
• Brandy J Kruse, LMSW
• Emily Jean Kruse, PA-C
• Kayla Kruse, MD
• Katherine M Kryzer, MA, CC-SP
• Ksaferide LLC
• Shilpa G. Kshatriya, MD
• Kspediatrics LLC
• Ktaylorpsict LLC (Two Hearts Peer Support)
• KTW, LLC

• Otology & Neurotology Physician in Wichita, KS
• Providers in Wichita, KS by specialty
• Otology & Neurotology Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2022; 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.

Verify at the official NPI Registry.