Individual provider Active NPI

Kyle Anthony Przekaza, MPAS, PA-C

  • Surgical Physician Assistant
  • Wolfeboro, NH
National Provider Identifier
1659702264
Registry record updated Apr 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
0990 Issued in NH
Practice address
240 S Main St
Wolfeboro, NH 03894-4411
Phone
(603) 569-7690
NPI assigned
Dec 6, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X 0990 NH Primary

Addresses

Primary practice location

240 S Main St
Wolfeboro, NH 03894-4411

Mailing address

240 S Main St
Wolfeboro, NH 03894-4411
Phone (603) 569-7500

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address wolfeboroorthopedicsurg@gohnh.allscriptsdirect.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140313000554 NH Practitioner - Physician Assistant 3870723810 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Concord Hospital-LaconiaGroup PAC ID 7012326259, 275 clinicians

Practice addresses (Care Compare)

238 Daniel Webster Hwy
Meredith, NH 03253-5803
Phone (603) 279-7464

80 Highland St
Laconia, NH 03246-3235
Phone (603) 527-4500

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89 of 100Reported as apm
Quality
73.23
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Concord Hospital-Laconia CurrentSince Oct 1, 2023 Accepting new patients
Concord Hospital-Laconia Past Accepting new patients

Locations

250 Pleasant St
Concord, NH 03301
Phone (603) 225-2711

14 Maple St
Ste 100
Gilford, NH 03249
Phone (603) 524-4220

80 Highland St
Laconia, NH 03246
Phone (603) 527-7100

238 Daniel Webster Hwy
Meredith, NH 03253
Phone (603) 279-7464

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.

Hospital & facility affiliations 8

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": "1386288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617667200000",
    "number": "1659702264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 S MAIN ST",
            "city": "WOLFEBORO",
            "state": "NH",
            "postal_code": "038944411",
            "telephone_number": "603-569-7500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 S MAIN ST",
            "city": "WOLFEBORO",
            "state": "NH",
            "postal_code": "038944411",
            "telephone_number": "603-569-7690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRZEKAZA",
        "first_name": "KYLE",
        "middle_name": "ANTHONY",
        "credential": "MPAS, PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-12-06",
        "last_updated": "2021-04-06",
        "certification_date": "2021-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NH",
            "license": "0990",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "wolfeboroorthopedicsurg@gohnh.allscriptsdirect.net",
            "affiliation": "N",
            "endpointDescription": "direct messaging",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "direct",
            "address_1": "240 S Main St",
            "city": "Wolfeboro",
            "state": "NH",
            "country_code": "US",
            "postal_code": "038944411",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Wolfeboro, NH

Sources for this page

Verify at the official NPI Registry.