Individual provider Active NPI

Kevin Przybyla, DO

  • Anesthesiology Physician
  • Jamestown, NY
National Provider Identifier
1437129103
Registry record updated Nov 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
171828 Issued in NY
Practice address
207 Foote Ave
Jamestown, NY 14702
Phone
(716) 487-0141
NPI assigned
Jan 25, 2006
Sex
Male
Sole proprietor
No

Organizations & group practices 3

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.

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 Osteopathy, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
171828NYMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Tier Anesthesiologists PC Anesthesiology Past Accepting new patients
Jamestown Anesthesia Associates, PC Anesthesiology Past Accepting new patients
M. a. Chauhdry, Anesthesiologist, PC Anesthesiology Past Accepting new patients

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 171828 NY Primary

Addresses

NPPES NPI Registry

Primary practice location

207 Foote Ave
Jamestown, NY 14702

Mailing address

215 Elmwood Ave
PO Box 2169
Elmira Heights, NY 14903
Phone (607) 733-3639

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
01184596MedicaidNY

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 13, 2008.

{
    "created_epoch": "1138147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1226534400000",
    "number": "1437129103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 ELMWOOD AVE",
            "address_2": "PO BOX 2169",
            "city": "ELMIRA HEIGHTS",
            "state": "NY",
            "postal_code": "14903",
            "telephone_number": "607-733-3639",
            "fax_number": "607-733-1292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 FOOTE AVE",
            "city": "JAMESTOWN",
            "state": "NY",
            "postal_code": "14702",
            "telephone_number": "716-487-0141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRZYBYLA",
        "first_name": "KEVIN",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-25",
        "last_updated": "2008-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "171828",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01184596",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jamestown, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2008; 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.