Individual provider Active NPI

Jeffrey L Kiser, DO

  • Emergency Medicine Physician
  • Syracuse, NY
National Provider Identifier
1487282638
Registry record updated Jul 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
DR.0070693 Issued in CO
Practice address
750 E Adams St
Syracuse, NY 13210-2306
Phone
(315) 464-4363
NPI assigned
Mar 31, 2020
Last updated
Jul 5, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 5, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 320349 NY
Emergency Medicine Physician 207P00000X 010303 AZ
Student in an Organized Health Care Education/Training Program 390200000X
Emergency Medicine Physician 207P00000X DR.0070693 CO Primary

Addresses

Primary practice location

750 E Adams St
Syracuse, NY 13210-2306

Mailing address

750 E Adams St
Syracuse, NY 13210-2306

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, CA, CO, NV4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20230531001554 AZ Practitioner - Emergency Medicine 6901277110 Reassigns benefits to 2 organizations
I20230616003324 CA Practitioner - Emergency Medicine 6901277110 Reassigns benefits to 7 organizations
I20230620003022 CO Practitioner - Emergency Medicine 6901277110 Reassigns benefits to 1 organization
I20230808002877 NV Practitioner - Emergency Medicine 6901277110 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
West Virginia School of Osteopathic Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emergency Physicians Associates San Jose PCGroup PAC ID 8921344292, 131 clinicians
Encinitas Emergency Medicine IncGroup PAC ID 1951711357, 42 clinicians
Team Physicians of Northern California Medical Group IncGroup PAC ID 7113215146, 84 clinicians
County of Santa ClaraGroup PAC ID 1254244973, shared by 46 NPIs, 1,000 clinicians

Practice addresses (Care Compare)

2105 Forest Ave
San Jose, CA 95128-1425
Phone (408) 947-2500

354 Santa Fe Dr
Encinitas, CA 92024-5142
Phone (760) 753-1362

5555 Grossmont Ctr Dr
La Mesa, CA 91942-3019
Phone (619) 465-0711

751 S Bascom Ave
San Jose, CA 95128-2604
Phone (408) 885-5000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
61 of 100Reported as group
Quality
59.41
Promoting interoperability
0
Improvement activities
40
Cost
71.45

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
010303AZMDEmergency Medicine Physician
DR.0070693COMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sierra ER Department Physicians Medical Group Inc. Emergency Medicine CurrentSince Jul 13, 2023 Accepting new patients
County of Santa Clara CurrentSince Aug 16, 2023 Accepting new patients
Team Physicians of Nevada-Scherr, P.C. Emergency Medicine CurrentSince Aug 1, 2023 Accepting new patients
County of Santa Clara CurrentSince Aug 16, 2023 Accepting new patients
Emergency Physicians Associates San Jose PC Emergency Medicine CurrentSince Jul 1, 2023 Accepting new patients
Emergency Professionals of Colorado, PC Emergency Medicine CurrentSince Jul 17, 2023 Accepting new patients
Emergency Professionals of Colorado, PC Emergency Medicine CurrentSince Jul 17, 2023 Accepting new patients
County of Santa Clara Emergency Medicine Current Accepting new patients
County of Santa Clara CurrentSince Aug 16, 2023 Accepting new patients
Team Physicians of Northern California Medical Group Inc Emergency Medicine CurrentSince Apr 1, 2026 Accepting new patients
County of Santa Clara Current Accepting new patients
Quantum Healthcare Medical Associates of Arizona, PC Emergency Medicine CurrentSince Jul 15, 2023 Accepting new patients
County of Santa Clara CurrentSince Aug 16, 2023 Accepting new patients
Emergency Physicians Southwest, PC Emergency Medicine CurrentSince Jul 15, 2023 Accepting new patients

Locations

1900 N Higley Rd
Gilbert, AZ 85234
Phone (480) 543-2000

6644 E Baywood Ave
Mesa, AZ 85206
Phone (480) 321-2000

807 S Ponderosa St
Payson, AZ 85541
Phone (520) 474-3222

7475 Camino Arroyo
Gilroy, CA 95020
Phone (408) 852-2400

5555 Grossmont Center Dr
La Mesa, CA 91942
Phone (619) 465-0711

1993 McKee Rd
San Jose, CA 95116
Phone (408) 254-6320

1996 Lundy Ave
San Jose, CA 95131
Phone (408) 299-5846

2101 Alexian Dr
San Jose, CA 95116
Phone (408) 272-6050

2105 Forest Ave
San Jose, CA 95128
Phone (408) 947-2500

500 Tully Rd
San Jose, CA 95111
Phone (408) 817-1433

750 S Bascom Ave
San Jose, CA 95128
Phone (408) 885-2320

751 S Bascom Ave
San Jose, CA 95128
Phone (408) 885-5110

660 S Fair Oaks Ave
Sunnyvale, CA 94086
Phone (408) 885-7366

1800 Spring Ridge Dr
Susanville, CA 96130
Phone (530) 252-2225

4700 Lady Moon Dr
Fort Collins, CO 80528
Phone (970) 521-4600

1801 16th St
Greeley, CO 80631
Phone (970) 352-4121

2000 Boise Ave
Loveland, CO 80538
Phone (970) 635-4071

615 Fairhurst St
Sterling, CO 80751
Phone (970) 521-0322

801 E Williams Ave
Fallon, NV 89406
Phone (775) 423-0310

Interoperability endpoints

  • Direct secure messaging: jkiser194295@santaclaravalley.direct-ci.net

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 2

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": "1585612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688515200000",
    "number": "1487282638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 E ADAMS ST",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132102306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 E ADAMS ST",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132102306",
            "telephone_number": "315-464-4363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KISER",
        "first_name": "JEFFREY",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-03-31",
        "last_updated": "2023-07-05",
        "certification_date": "2023-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NY",
            "license": "320349",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AZ",
            "license": "010303",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CO",
            "license": "DR.0070693",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Syracuse, NY

Sources for this page

Verify at the official NPI Registry.