Ciara Kazakis, DO

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

21679 Issued in NH

Practice address

6 Tsienneto Rd
Suite 300
Derry, NH 03038

Phone

(603) 216-0400

Fax

(603) 216-3800

NPI assigned

Feb 23, 2016

Last updated

Aug 3, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other names 1

• Ciara Young Former name

Medicare fee-for-service enrollment

Enrolled in NY, NH2 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

Specialty

Internal Medicine

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Foundation Medical Partners IncGroup PAC ID 9436140456, 313 clinicians

St. Joseph Hospital of Nashua NHGroup PAC ID 2062455611, 271 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Home Health & Hospice Care Home health agency, Merrimack, NH, CCN 307017
• Pathways Healthcare LLC Home health agency, Londonderry, NH, CCN 307095
• St Joseph Hospital Hospital, Nashua, NH, CCN 300011
• Southern NH Medical Center Hospital, Nashua, NH, CCN 300020

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ciarakazakis@snhima.allscriptsdirect.net

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.

• Foundation Medical Partners Inc

  • Internal Medicine Physician
  • Nashua, NH
  • NPI 1033162037
  Medicare reassignment Care Compare group NPD
• St Joseph Hospital of Nashua NH

  • General Acute Care Hospital
  • Nashua, NH
  • NPI 1093787384
  Medicare reassignment Care Compare group NPD
• Catholic Medical Center

  • Internal Medicine Physician
  • Manchester, NH
  • NPI 1265487755
  Medicare reassignment NPD
• Southern New Hampshire Internal Medicine Associates, PLLC

  • Specialist
  • Derry, NH
  • NPI 1316026677
  Medicare reassignment NPD
• Department of Medicine Medical Serv GRP at Suny HLTH Sci Ctr Syr in

  • Internal Medicine Physician
  • Syracuse, NY
  • NPI 1063468239
  Medicare reassignment NPD
• Upstate Community Medical, PC

  • Hospitalist Physician
  • Syracuse, NY
  • NPI 1689620163
  Medicare reassignment NPD
• Catholic Medical Center

  dba Manchester Anesthesia Associates

  • Anesthesiology Physician
  • Manchester, NH
  • NPI 1003692112
  NPD
• Foundation Medical Partners Inc.

  • Durable Medical Equipment & Medical Supplies
  • Amherst, NH
  • NPI 1679921472
  NPD
• St Joseph Hospital of Nashua NH

  dba St Joseph Hospital Urgent Care

  • Urgent Care Clinic/Center
  • Milford, NH
  • NPI 1437758679
  NPD
• Department of Medicine Medical Service Group

  • Hematology & Oncology Physician
  • Homer, NY
  • NPI 1205104262
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Southern NH Medical Center

  • General Acute Care Hospital
  • Nashua, NH
  • NPI 1245447994
  Care Compare affiliation Name & address match
• Home Health & Hospice Care

  • Home Health Agency
  • Merrimack, NH
  • NPI 1437151651
  Care Compare affiliation
• Pathways Healthcare, LLC

  dba Pathways Healthcare

  • Home Health Agency
  • Londonderry, NH
  • NPI 1275014235
  Care Compare affiliation
• St Joseph Hospital of Nashua NH

  • General Acute Care Hospital
  • Nashua, NH
  • NPI 1093787384
  Care Compare affiliation
• St Joseph Hospital of Nashua NH

  dba St Joseph Hospital Urgent Care

  • Urgent Care Clinic/Center
  • Milford, NH
  • NPI 1437758679

  Hospital

  Care Compare affiliation
• Pathways Healthcare, LLC

  • Home Health Agency
  • Westwood, MA
  • NPI 1740529668
  Care Compare affiliation

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

{
    "created_epoch": "1456185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627948800000",
    "number": "1629438379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 TSIENNETO RD",
            "address_2": "SUITE 300",
            "city": "DERRY",
            "state": "NH",
            "postal_code": "03038",
            "telephone_number": "603-216-0400",
            "fax_number": "603-216-3800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 TSIENNETO RD",
            "address_2": "SUITE 300",
            "city": "DERRY",
            "state": "NH",
            "postal_code": "03038",
            "telephone_number": "603-216-0400",
            "fax_number": "603-216-3800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAZAKIS",
        "first_name": "CIARA",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-23",
        "last_updated": "2021-08-03",
        "certification_date": "2021-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NH",
            "license": "21679",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "NY",
            "license": "299288",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CIARA",
            "last_name": "YOUNG",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Amiksha Parminder Kumar Kad
• Daniel F Kana, D.D.S.
• Thomas J. Karanasios, PT
• Thays Christina Evangelista Kasprzak
• Alison Kaufman
• Keith D. Jorgensen, MD, PA
• David Jay Keller, M.D.
• Amanda Elizabeth Kelley, LCSW
• Karen Kelley, LADC
• Rebecca Kentner

• Internal Medicine Physician in Derry, NH
• Providers in Derry, NH by specialty
• Internal Medicine Physician in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2021; 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.

Verify at the official NPI Registry.