Active NPI
Andris Kazmers, M.D.
- Vascular Surgery Physician
- Petoskey, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- License
- 4301041254
- Practice address
- 3250 Woods Way Ste 9
Petoskey, MI 49770-7629 - Phone
- (231) 881-9700
- Fax
- (231) 881-9698
- NPI assigned
- Apr 17, 2006
- Last updated
- Feb 22, 2021
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 4301041254 | MI | |
| Vascular Surgery Physician | 2086S0129X | 4301041254 | MI | Primary |
Addresses
Primary practice location
3250 Woods Way Ste 9
Petoskey, MI 49770-7629
Mailing address
3290 Woods Way
Petoskey, MI 49770-8694
Phone (231) 348-3800
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0B40185 | Other | MI | BCBSM |
| 0B40185 | Other | MI | BCN |
| MI10219 | Other | MI | MEDICARE PTAN |
Other names 1
- Dr. Andris Kazmers
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Vascular Surgery
- Education
- Wayne State University School of Medicine, 1976
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
101 E Mitchell St
Gaylord, MI 49735-1460
Phone (989) 448-7002
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301041254 | MI | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alpine Cardiology, PLLC | Current | Accepting new patients | |
| Four Seasons Natural Health | Current | Accepting new patients | |
| Brain and Spine Associates PC | Current | Accepting new patients |
Locations
101 E Mitchell St
Gaylord, MI 49735
Phone (989) 448-7002
521 Monroe St
Petoskey, MI 49770
Phone (231) 348-1514
Interoperability endpoints
- https://api.platform.athenahealth.com/23627/brand/1/csg/1/fhir/r4
Organizations & group practices 5
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.
-
dba 4 Seasons Health
- Public Health & General Preventive Medicine Physician
- Petoskey, MI
- NPI 1043676661
-
- Surgery Physician
- Petoskey, MI
- NPI 1730145574
-
- Cardiovascular Disease Physician
- Gaylord, MI
- NPI 1265803316
-
- Neurological Surgery Physician
- Bay City, MI
- NPI 1710651195
-
- General Practice Physician
- Petoskey, MI
- NPI 1548852387
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145232000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1613952000000",
"number": "1215991096",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3290 WOODS WAY",
"city": "PETOSKEY",
"state": "MI",
"postal_code": "497708694",
"telephone_number": "231-348-3800",
"fax_number": "231-348-3804"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3250 WOODS WAY STE 9",
"city": "PETOSKEY",
"state": "MI",
"postal_code": "497707629",
"telephone_number": "231-881-9700",
"fax_number": "231-881-9698"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAZMERS",
"first_name": "ANDRIS",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-04-17",
"last_updated": "2021-02-22",
"certification_date": "2021-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "MI",
"license": "4301041254",
"primary": false
},
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "MI",
"license": "4301041254",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSM",
"identifier": "0B40185",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCN",
"identifier": "0B40185",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "MI10219",
"state": "MI"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ANDRIS",
"last_name": "KAZMERS",
"prefix": "DR.",
"credential": "M.D.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Petoskey, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2021; 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.
- 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.