Individual provider Active NPI

Paulomi K Kanzaria, M.D.

  • Diagnostic Radiology Physician
  • Templeton, MA
National Provider Identifier
1619922499
Registry record updated Jul 31, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
42273 Issued in MA
Practice address
14 Rice Rd
Templeton, MA 01468-1332
Phone
(978) 939-2035
Fax
(978) 939-2039
NPI assigned
May 23, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 42273 MA Primary

Addresses

Primary practice location

14 Rice Rd
Templeton, MA 01468-1332

Mailing address

14 Rice Rd
Templeton, MA 01468-1332
Phone (978) 939-2035

Other identifiers 1

IdentifierTypeStateIssuer
0139432MedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, CA2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20040811000821 MA Practitioner - Diagnostic RadiologyPractitioner - Nuclear Medicine 8820060676 Reassigns benefits to 2 organizations
I20221117002215 CA Practitioner - Diagnostic Radiology 8820060676 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Regents of the Univ of CaGroup PAC ID 3375456619, 1,571 clinicians

Practice addresses (Care Compare)

2315 Stockton Blvd
Sacramento, CA 95817-2201
Phone (916) 703-3011

Hospital & facility affiliations

  • University of California Davis Medical Center Hospital, Sacramento, CA, CCN 050599

Merit-based Incentive Payment System (MIPS)

Final score
83.15 of 100Reported as group
Quality
64.8
Promoting interoperability
100
Improvement activities
40
Cost
68.65

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Regents of the Univ of Ca Current Accepting new patients
Regents of the Univ of Ca Diagnostic Radiology CurrentSince Oct 1, 2022 Accepting new patients
Saint Vincent Radiological Associates Inc Diagnostic Radiology CurrentSince Mar 1, 1981 Accepting new patients
Umass Memorial Medical Group Inc Past Accepting new patients
Regents of the Univ of Ca Past Accepting new patients
VHS Acquisition Subsidiary Number 7 Inc Past Accepting new patients
Regents of the Univ of Ca Past Accepting new patients

Locations

2315 Stockton Blvd
Sacramento, CA 95817
Phone (916) 703-3030

4868 X St
Sacramento, CA 95817
Phone (916) 703-1503

4900 Broadway
Ste 2800
Sacramento, CA 95820
Phone (916) 734-9313

4860 Y St
Ste 500
Sacramento, CA 95817
Phone (916) 734-3171

340 Thompson Rd
Webster, MA 01570
Phone (508) 943-2600

100 Grove St
Worcester, MA 01605
Phone (508) 752-3763

123 Summer St
Worcester, MA 01608
Phone (508) 363-6000

Organizations & group practices 8

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.

Hospital & facility affiliations 1

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": "1148342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469923200000",
    "number": "1619922499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 RICE RD",
            "city": "TEMPLETON",
            "state": "MA",
            "postal_code": "014681332",
            "telephone_number": "978-939-2035",
            "fax_number": "978-939-2039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 RICE RD",
            "city": "TEMPLETON",
            "state": "MA",
            "postal_code": "014681332",
            "telephone_number": "978-939-2035",
            "fax_number": "978-939-2039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANZARIA",
        "first_name": "PAULOMI",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-23",
        "last_updated": "2016-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MA",
            "license": "42273",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0139432",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Templeton, MA

Sources for this page

Verify at the official NPI Registry.