Active NPI
Somasekharam Kaza, MD
- Psychiatry Physician
- Cedar Hill, TX
National Provider Identifier
1528040821
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- J4875
- Practice address
- 2435 Valley View Dr
Cedar Hill, TX 75104-6712 - Phone
- (972) 291-6808
- NPI assigned
- Nov 14, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Psychiatry Physician | 2084P0805X | 19040 | OK | |
| Psychiatry Physician | 2084P0800X | J4875 | TX | Primary |
Addresses
Primary practice location
2435 Valley View Dr
Cedar Hill, TX 75104-6712
Mailing address
PO Box 70
1200 E Brin Street
Terrell, TX 75160
Phone (972) 551-8217
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100219600B | Medicaid | OK |
Other names 1
- Soma Sekharam Kaza
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
| License | State | Type | Specialty |
|---|---|---|---|
| 19040 | OK | MD | Geriatric Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Edwin Fair Community Mental Health Center, Inc. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Community/Behavioral Health Agency
- Ponca City, OK
- NPI 1316997992
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131926400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1281571200000",
"number": "1528040821",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 70",
"address_2": "1200 E BRIN STREET",
"city": "TERRELL",
"state": "TX",
"postal_code": "75160",
"telephone_number": "972-551-8217",
"fax_number": "972-551-8053"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2435 VALLEY VIEW DR",
"city": "CEDAR HILL",
"state": "TX",
"postal_code": "751046712",
"telephone_number": "972-291-6808"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAZA",
"first_name": "SOMASEKHARAM",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-14",
"last_updated": "2010-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0805X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Geriatric Psychiatry",
"state": "OK",
"license": "19040",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "TX",
"license": "J4875",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100219600B",
"state": "OK"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "SOMA",
"last_name": "KAZA",
"middle_name": "SEKHARAM",
"credential": "MD",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Cedar Hill, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.