Individual provider Active NPI

Peter C Kaiser, M.D.

  • Otolaryngology Physician
  • Phoenix, AZ
National Provider Identifier
1609872894
Registry record updated Aug 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
22523 Issued in AZ
Practice address
3805 E. Bell Road
Suite 5800
Phoenix, AZ 85032-2190
Phone
(602) 688-6500
Fax
(602) 867-3144
NPI assigned
Jun 22, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 22523 AZ
Otolaryngology Physician 207Y00000X 22523 AZ Primary

Addresses

Primary practice location

3805 E. Bell Road
Suite 5800
Phoenix, AZ 85032-2190

Mailing address

3805 E. Bell Road
Suite 5800
Phoenix, AZ 85032-2190
Phone (602) 688-6500

Other identifiers 1

IdentifierTypeStateIssuer
ZWMBCQ03OtherAZMEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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 1

Enrollment IDStateProvider typePAC IDDetails
I20031124000189 AZ Practitioner - Otolaryngology 7113821075 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Northwestern University Feinberg Medical School, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Valley Ear Nose and Throat Associates PCGroup PAC ID 3173427036, 6 clinicians

Practice addresses (Care Compare)

3805 E Bell Rd
Suite 5800
Phoenix, AZ 85032-2190
Phone (602) 688-6500

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
22523AZMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Valley Ear, Nose & Throat Associates, P.C Otolaryngology CurrentSince Jan 1, 1994 Accepting new patients
North Valley Ear, Nose & Throat Associates, P.C Otolaryngology CurrentSince Feb 18, 2024 Accepting new patients

Locations

6320 W Union Hills Dr
Ste 170
Glendale, AZ 85308
Phone (602) 688-6500

6320 W Union Hills Dr
Ste A170
Glendale, AZ 85308
Phone (602) 688-6500

3805 E Bell Rd
Ste 5800
Phoenix, AZ 85032
Phone (602) 688-6500

3805 E Bell Rd
Phoenix, AZ 85032
Phone (570) 271-7965

3811 E Bell Rd
Ste 300
Phoenix, AZ 85032
Phone (480) 454-7350

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1119398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344902400000",
    "number": "1609872894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3805 E. BELL ROAD",
            "address_2": "SUITE 5800",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850322190",
            "telephone_number": "602-688-6500",
            "fax_number": "602-867-3144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3805 E. BELL ROAD",
            "address_2": "SUITE 5800",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850322190",
            "telephone_number": "602-688-6500",
            "fax_number": "602-867-3144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAISER",
        "first_name": "PETER",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-22",
        "last_updated": "2012-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "AZ",
            "license": "22523",
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "AZ",
            "license": "22523",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "ZWMBCQ03",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.