Individual provider Active NPI

Andris Kazmers, M.D.

  • Vascular Surgery Physician
  • Petoskey, MI
National Provider Identifier
1215991096
Registry record updated Feb 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
4301041254 Issued in MI
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, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 22, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0B40185OtherMIBCBSM
0B40185OtherMIBCN
MI10219OtherMIMEDICARE PTAN

Other names 1

  • Dr. Andris Kazmers Other name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100811000949 MI Practitioner - Vascular Surgery 7517091655 Reassigns benefits to 2 organizations

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
Integrative Cardiovascular Health and WellnessGroup PAC ID 8426346008, 2 clinicians

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

LicenseStateTypeSpecialty
4301041254MIMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Alpine Cardiology, PLLC CurrentSince Apr 24, 2018 Accepting new patients
Four Seasons Natural Health Current Accepting new patients
Brain and Spine Associates PC CurrentSince Aug 1, 2021 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

  • FHIR API: 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.

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

Verify at the official NPI Registry.