Peter G Kansas, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

092366 Issued in NY

Practice address

24 Century Hill Dr
Suite 001
Latham, NY 12110-2133

Phone

(518) 690-2015

Fax

(518) 690-0353

NPI assigned

Mar 8, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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 and National Provider Directory roles.

• Kansas Eye Surgery Associates, P.C.

  • Specialist
  • Latham, NY
  • NPI 1770511776
  NPD

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1366573545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 CENTURY HILL DR",
            "address_2": "SUITE 001",
            "city": "LATHAM",
            "state": "NY",
            "postal_code": "121102133",
            "telephone_number": "518-690-2015",
            "fax_number": "518-690-0353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 CENTURY HILL DR",
            "address_2": "SUITE 001",
            "city": "LATHAM",
            "state": "NY",
            "postal_code": "121102133",
            "telephone_number": "518-690-2015",
            "fax_number": "518-690-0353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANSAS",
        "first_name": "PETER",
        "middle_name": "G",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "092366",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02312527",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Diana Kakaty, SLP
• Michael John Kane, DDS
• Sujata R Kane, PA-C
• Kansas Eye Surgery Associates, P.C.
• Kansas Eye Surgery Associates, P.C.
• Natasha Kapsaroff-Ruiz, FNP-C
• Katie McLean Mental Health Counseling PLLC
• Sanjiv Kayastha, MD
• Maude A Kaye, NP
• Debra Lee Keegan, R.N.

• Ophthalmology Physician in Latham, NY
• Providers in Latham, NY by specialty
• Ophthalmology Physician in New York

• 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.