NPIMap

Individual provider Active NPI

Irene S Kazmers, MD

  • Rheumatology Physician
  • Petoskey, MI
National Provider Identifier
1437113032
Registry record updated Mar 31, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
4301041105 Issued in MI
Practice address
3280 Woods Way
Petoskey, MI 49770-8105
Phone
(231) 348-3800
Fax
(877) 529-6854
NPI assigned
Apr 12, 2006
Last updated
Mar 31, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X 4301041105 MI Primary

Addresses

Primary practice location

3280 Woods Way
Petoskey, MI 49770-8105

Mailing address

3280 Woods Way
Petoskey, MI 49770-8105
Phone (231) 348-3800

Other identifiers 1

IdentifierTypeStateIssuer
104627337MedicaidMI

Other names 1

  • Irene S Ueyama Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040907000182 MI Practitioner - RheumatologyPractitioner - Internal MedicinePractitioner - Geriatric Medicine 1153397708 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Rheumatology
Education
University of California, San Francisco School of Medicine, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
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

3280 Woods Way
Petoskey, MI 49770-8105

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Integrative Cardiovascular Health & Wellness CurrentSince Oct 1, 2019 Accepting new patients
Alpine Cardiology, PLLC PastSince Mar 16, 2016 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

101 E Mitchell St
Gaylord, MI 49735
Phone (989) 448-7002

3280 Woods Way
Unit 1
Petoskey, MI 49770
Phone (231) 348-3800

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14008/brand/2/csg/1/fhir/r4
  • 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.

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1144800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1301529600000",
    "number": "1437113032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3280 WOODS WAY",
            "city": "PETOSKEY",
            "state": "MI",
            "postal_code": "497708105",
            "telephone_number": "231-348-3800",
            "fax_number": "877-529-6854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3280 WOODS WAY",
            "city": "PETOSKEY",
            "state": "MI",
            "postal_code": "497708105",
            "telephone_number": "231-348-3800",
            "fax_number": "877-529-6854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAZMERS",
        "first_name": "IRENE",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-12",
        "last_updated": "2011-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "MI",
            "license": "4301041105",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104627337",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "IRENE",
            "last_name": "UEYAMA",
            "middle_name": "S",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Petoskey, MI

Sources for this page

Verify at the official NPI Registry.