NPIMap

Individual provider Active NPI

Kristina S Kezar, MD

  • Hospitalist Physician
  • Cottonwood, AZ
National Provider Identifier
1669452348
Registry record updated Jul 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
36786 Issued in AZ
Practice address
269 S Candy LN
Cottonwood, AZ 86326-4158
Phone
(928) 639-5588
Fax
(928) 639-5589
NPI assigned
Jan 19, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X M15940 ID
Hospitalist Physician 208M00000X 4301079543 MI
Hospitalist Physician 208M00000X M-15940 ID
Hospitalist Physician 208M00000X 36786 AZ Primary

Addresses

Primary practice location

269 S Candy LN
Cottonwood, AZ 86326-4158

Mailing address

1200 N Beaver St
Flagstaff, AZ 86001-3118
Phone (928) 213-6235

Other practice location 1

1200 N Beaver St
Flagstaff, AZ 86001-3118
Phone (928) 214-2920

Other practice location 2

2003 Kootenai Health Way
Coeur D Alene, ID 83814-6051
Phone (208) 625-4000

Other identifiers 1

IdentifierTypeStateIssuer
151148MedicaidAZ

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kkezar448279@direct.multicare.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, WA, ID, OR4 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20070807000004 AZ Practitioner - HospitalistPractitioner - Internal Medicine 9436174828 Reassigns benefits to 2 organizations
I20200318001982 WA Practitioner - Internal Medicine 9436174828 Reassigns benefits to 1 organization
I20220308001069 ID Practitioner - Hospitalist 9436174828 Reassigns benefits to 3 organizations
I20230327001260 OR Practitioner - Internal Medicine 9436174828 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hospitalist
Education
University of Washington School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kootenai Health IncGroup PAC ID 1355792276, 394 clinicians
Columbia Lutheran CharitiesGroup PAC ID 5294643359, shared by 8 NPIs, 110 clinicians

Practice addresses (Care Compare)

1200 N Beaver St
Flagstaff, AZ 86001-3118
Phone (928) 779-3366

1215 N Beaver St
Suite 203
Flagstaff, AZ 86001-3126
Phone (928) 773-2249

2003 Kootenai Health Way
Coeur D Alene, ID 83814-6051
Phone (208) 625-4000

2111 Exchange St
Astoria, OR 97103-3329
Phone (503) 325-4321

269 S Candy LN
Cottonwood, AZ 86326-4158
Phone (928) 639-6000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
M15940IDMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Columbia Lutheran Charities CurrentSince Mar 17, 2026 Accepting new patients
Sound Physicians of Idaho Internal Medicine CurrentSince May 4, 2024 Accepting new patients
Multicare Health System CurrentSince Feb 5, 2020 Accepting new patients
Kootenai Health, Inc. Current Accepting new patients
Providence Health & Services - Oregon Internal Medicine Current Accepting new patients
Incyte Pathology, PLLC Current Accepting new patients
Multicare Health System Current Accepting new patients
Kingman Healthcare, Inc Current Accepting new patients
Columbia Lutheran Charities CurrentSince Mar 17, 2026 Accepting new patients
Kingman Healthcare, Inc CurrentSince Sep 1, 2009 Accepting new patients
Multicare Health System CurrentSince Feb 5, 2020 Accepting new patients
Kootenai Health, Inc. CurrentSince Jan 28, 2022 Accepting new patients
Providence Health & Services - Oregon Internal Medicine Current Accepting new patients
Flagstaff Pathology Associates Current Accepting new patients
Kingman Healthcare, Inc CurrentSince Sep 1, 2009 Accepting new patients
Kootenai Health, Inc. CurrentSince Aug 9, 2024 Accepting new patients
Kootenai Health, Inc. CurrentSince Jan 28, 2022 Accepting new patients
Columbia Lutheran Charities Past Accepting new patients
Columbia Lutheran Charities Past Accepting new patients
Verde Valley Medical Center Past Accepting new patients

Locations

269 S Candy Ln
Cottonwood, AZ 86326
Phone (928) 634-2251

1200 N Beaver St
Flagstaff, AZ 86001
Phone (928) 213-6235

3269 N Stockton Hill Rd
Kingman, AZ 86409
Phone (928) 757-0626

2003 Kootenai Health Way
Coeur D Alene, ID 83814
Phone (208) 625-5085

415 6th St
Lewiston, ID 83501
Phone (208) 750-7445

1512 12th Ave Rd
Nampa, ID 83686
Phone (208) 463-5000

1300 E Mullan Ave
Ste 700
Post Falls, ID 83854
Phone (208) 625-5564

2111 Exchange St
Astoria, OR 97103
Phone (503) 325-4321

200 S Hazel Dell Way
Ste 210
Canby, OR 97013
Phone (503) 263-9550

1001 N Providence Dr
Newberg, OR 97132
Phone (503) 216-1538

10150 SE 32nd Ave
Portland, OR 97222
Phone (503) 215-4202

4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590

311 S L St
Tacoma, WA 98405
Phone (253) 403-1444

Organizations & group practices 21

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.

View all 21

Hospital & facility affiliations 12

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": "1137628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753228800000",
    "number": "1669452348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 N BEAVER ST",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860013118",
            "telephone_number": "928-213-6235",
            "fax_number": "928-213-6292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "269 S CANDY LN",
            "city": "COTTONWOOD",
            "state": "AZ",
            "postal_code": "863264158",
            "telephone_number": "928-639-5588",
            "fax_number": "928-639-5589"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1200 N Beaver St",
            "address_purpose": "LOCATION",
            "city": "Flagstaff",
            "state": "AZ",
            "postal_code": "860013118",
            "country_code": "US",
            "telephone_number": "928-214-2920",
            "fax_number": "928-214-2925",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2003 Kootenai Health Way",
            "address_purpose": "LOCATION",
            "city": "Coeur D Alene",
            "state": "ID",
            "postal_code": "838146051",
            "country_code": "US",
            "telephone_number": "208-625-4000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KEZAR",
        "first_name": "KRISTINA",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-19",
        "last_updated": "2025-07-23",
        "certification_date": "2025-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "ID",
            "license": "M15940",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "MI",
            "license": "4301079543",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "ID",
            "license": "M-15940",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "AZ",
            "license": "36786",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "151148",
            "state": "AZ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kkezar448279@direct.multicare.org",
            "affiliation": "N",
            "address_1": "2003 Kootenai Health Way",
            "city": "Coeur D Alene",
            "state": "ID",
            "country_code": "US",
            "postal_code": "838146051",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Cottonwood, AZ

Sources for this page

Verify at the official NPI Registry.