Active NPI
Callie Leeanne Rzasa, M.D.
- Pediatric Cardiology Physician
- Lexington, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Cardiology Physician
- License
- 49619
- Practice address
- 138 Leader Ave
RM 252
Lexington, KY 40506-3215 - Phone
- (859) 323-5962
- NPI assigned
- Jul 14, 2012
- Sex
- Female
- Sole proprietor
- No
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.
-
- Internal Medicine Physician
- Lexington, KY
- NPI 1326091448
KY
Care Compare profile
Medicare Care Compare- Specialty
- Pediatric Medicine
- Education
- University of Michigan Medical School, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Kentucky Medical Services Foundation, Inc
Practice addresses (Care Compare)
100 Greatstone PT
Lexington, KY 40504-3274
Phone (859) 257-9800
101 Sanders-Brown BLDG
Lexington, KY 40536-0001
Phone (859) 257-1412
2400 Greatstone PT
Lexington, KY 40504-3274
Phone (859) 323-7426
800 Rose St
Lexington, KY 40536-0001
Phone (859) 323-5000
830 S Limestone
Lexington, KY 40536-0001
Phone (859) 323-0303
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Medicare enrollment records 1
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160922002009 | KY | Practitioner - Pediatric Medicine | 7719274463 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A118429 | CA | MD | Pediatric Cardiology Physician |
| 49619 | KY | MD | Pediatric Cardiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kentucky Medical Services Foundation, Inc | Current | Accepting new patients |
Locations
2400 Greatstone Pt
Lexington, KY 40504
Phone (859) 257-9800
Interoperability endpoints
- crzasa22015@ukhcdirect.org
Specialties & licenses 4
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Cardiology Physician | 2080P0202X | TP234 | KY | |
| Pediatric Cardiology Physician | 2080P0202X | A118429 | CA | |
| Student in an Organized Health Care Education/Training Program | 390200000X | A118429 | CA | |
| Pediatric Cardiology Physician | 2080P0202X | 49619 | KY | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
138 Leader Ave
RM 252
Lexington, KY 40506-3215
Mailing address
138 Leader Ave
RM 252
Lexington, KY 40506-3215
Phone (859) 323-5962
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 19, 2017.
{
"created_epoch": "1342224000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1513641600000",
"number": "1629323746",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "138 LEADER AVE",
"address_2": "RM 252",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405063215",
"telephone_number": "859-323-5962"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "138 LEADER AVE",
"address_2": "RM 252",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405063215",
"telephone_number": "859-323-5962"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RZASA",
"first_name": "CALLIE",
"middle_name": "LEEANNE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-07-14",
"last_updated": "2017-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0202X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Cardiology",
"state": "KY",
"license": "TP234",
"primary": false
},
{
"code": "2080P0202X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Cardiology",
"state": "CA",
"license": "A118429",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "CA",
"license": "A118429",
"primary": false
},
{
"code": "2080P0202X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Cardiology",
"state": "KY",
"license": "49619",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lexington, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.