Active NPI
Klaus Kjaer-Pedersen, MD
- Anesthesiology Physician
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 217065
- Practice address
- 525 East 68TH Street
Weill Medical College of Cornell University
New York, NY 10065-4885 - Phone
- (646) 962-4328
- NPI assigned
- Aug 11, 2006
- Last updated
- Nov 21, 2024
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 217065 | NY | Primary |
Addresses
Primary practice location
525 East 68TH Street
Weill Medical College of Cornell University
New York, NY 10065-4885
Mailing address
575 Lexington Ave
New York, NY 10022-6102
Phone (646) 962-4328
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02078779 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Weill Medical College of Cornell | Current | Accepting new patients | |
| Weill Medical College of Cornell | Anesthesiology | Current | Accepting new patients |
Locations
525 E 68th St
New York, NY 10065
Phone (212) 746-2846
525 E 68th St
#124
New York, NY 10065
Phone (212) 746-2790
525 E 68th St
#585
New York, NY 10065
Phone (212) 746-2059
Interoperability endpoints
- klk9001@direct.nyp.org
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Cornell Anes Assoc
- Anesthesiology Physician
- New York, NY
- NPI 1619917341
-
- Cardiovascular Disease Physician
- New York, NY
- NPI 1144729385
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155254400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1732147200000",
"number": "1649281650",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "575 LEXINGTON AVE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100226102",
"telephone_number": "646-962-4328"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "525 EAST 68TH STREET",
"address_2": "WEILL MEDICAL COLLEGE OF CORNELL UNIVERSITY",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100654885",
"telephone_number": "646-962-4328"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KJAER-PEDERSEN",
"first_name": "KLAUS",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-11",
"last_updated": "2024-11-21",
"certification_date": "2024-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "NY",
"license": "217065",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02078779",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.