Active NPI
Irene Kazhdan, M.D.
- Medical Oncology Physician
- San Antonio, TX
National Provider Identifier
1649273145
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Oncology Physician
- License
- M0776
- Practice address
- 5206 Research Dr
San Antonio, TX 78240-5251 - Phone
- (210) 595-5300
- Fax
- (210) 614-8740
- NPI assigned
- May 27, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Oncology Physician | 207RX0202X | M0776 | TX | Primary |
Addresses
Primary practice location
5206 Research Dr
San Antonio, TX 78240-5251
Mailing address
PO Box 911230
Dallas, TX 75391-1230
Phone (972) 994-5411
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P01547635 | Other | TX | RAILROAD MEDICARE |
| 166147206 | Medicaid | TX | |
| 166147204 | Medicaid | TX |
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 |
|---|---|---|---|
| 40432 | TX | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cancer Care Network of South Texas PA | Medical Oncology | Past | Accepting new patients |
| Cancer Healthcare Associates | Medical Oncology | Past | Accepting new patients |
Interoperability endpoints
- irene.kazhdan@txo.ikm.direct-ci.com
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.
-
- Hematology & Oncology Physician
- San Antonio, TX
- NPI 1225064603
Medical Oncology
-
- Hematology & Oncology Physician
- San Antonio, TX
- NPI 1548263346
Medical Oncology
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1117152000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1519603200000",
"number": "1649273145",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 911230",
"city": "DALLAS",
"state": "TX",
"postal_code": "753911230",
"telephone_number": "972-994-5411",
"fax_number": "972-234-2987"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5206 RESEARCH DR",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782405251",
"telephone_number": "210-595-5300",
"fax_number": "210-614-8740"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAZHDAN",
"first_name": "IRENE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-05-27",
"last_updated": "2018-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "207RX0202X",
"taxonomy_group": "",
"desc": "Internal Medicine, Medical Oncology",
"state": "TX",
"license": "M0776",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P01547635",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "166147206",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "166147204",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.