Individual provider Active NPI

Robert Jonathan Kiltz, M.D.

  • Reproductive Endocrinology Physician
  • Syracuse, NY
National Provider Identifier
1346309549
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Reproductive Endocrinology PhysicianTaxonomy code 207VE0102X
License
200985-1 Issued in NY
Practice address
195 Intrepid LN
Syracuse, NY 13205-2548
Phone
(315) 469-8700
Fax
(315) 469-6789
NPI assigned
Dec 6, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Reproductive Endocrinology Physician 207VE0102X 200985-1 NY Primary

Addresses

Primary practice location

195 Intrepid LN
Syracuse, NY 13205-2548

Mailing address

195 Intrepid LN
Syracuse, NY 13205-2548
Phone (315) 469-8700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
200985-1NYMDReproductive Endocrinology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cny Fertility Colorado, PLLC Reproductive Endocrinology Current Accepting new patients
Hospital Authority of the City of Bainbridge and Decatur County Past Accepting new patients
Gibson Community Hospital Association Past Accepting new patients
Ozarks Medical Center Past Accepting new patients
Frances Mahon Deaconess Hospital Past Accepting new patients
Cny Fertility Center Reproductive Endocrinology Past Accepting new patients
Major Hospital Past Accepting new patients
Jackson County Memorial Hospital Authority Past Accepting new patients
Albany Gynecology & Fertility PastSince Jun 16, 2010 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

265 S Parkside Dr
Ste 200
Colorado Springs, CO 80910
Phone (719) 304-2873

195 Intrepid Ln
Syracuse, NY 13205
Phone (315) 469-6789

Organizations & group practices 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1346309549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "195 INTREPID LN",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132052548",
            "telephone_number": "315-469-8700",
            "fax_number": "315-469-6789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "195 INTREPID LN",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132052548",
            "telephone_number": "315-469-8700",
            "fax_number": "315-469-6789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KILTZ",
        "first_name": "ROBERT",
        "middle_name": "JONATHAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VE0102X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
            "state": "NY",
            "license": "200985-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Syracuse, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.