Individual provider Active NPI

Srinivas R Kaza, MD

  • Otolaryngology Physician
  • Canandaigua, NY
National Provider Identifier
1679597652
Registry record updated Mar 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
229404 Issued in NY
Practice address
229 Parrish St
Suite 250
Canandaigua, NY 14424-1795
Phone
(585) 394-8800
Fax
(585) 394-5942
NPI assigned
Jul 26, 2006
Last updated
Mar 8, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 229404 NY Primary
Sleep Medicine (Otolaryngology) Physician 207YS0012X 229404 NY

Addresses

Primary practice location

229 Parrish St
Suite 250
Canandaigua, NY 14424-1795

Mailing address

229 Parrish St
Suite 250
Canandaigua, NY 14424-1795
Phone (585) 394-8800

Other identifiers 1

IdentifierTypeStateIssuer
02509364MedicaidNY

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040407001207 NY Practitioner - Otolaryngology 2365435971 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Northwestern University Feinberg Medical School, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lakeside ENT and Allergy LLCGroup PAC ID 3577556190, 9 clinicians

Practice addresses (Care Compare)

229 Parrish St
Suite 250
Canandaigua, NY 14424-1791
Phone (585) 394-8800

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
79.49 of 100Reported as group
Quality
61.65
Improvement activities
40
Cost
77.48

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
229404NYMDSleep Medicine (Otolaryngology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lakeside ENT & Allergy LLC. Otolaryngology CurrentSince Jun 1, 2009 Accepting new patients
Kaza Medical Group Past Accepting new patients
Lakeside Balance and Wellness, LLC PastSince Jan 10, 2019 Accepting new patients

Locations

215 Summit St
Batavia, NY 14020
Phone (585) 343-3205

229 Parrish St
Ste 250
Canandaigua, NY 14424
Phone (585) 394-8800

4 Coulter Rd
Clifton Springs, NY 14432
Phone (315) 462-1368

2601 Lac de Ville Blvd
Ste A
Rochester, NY 14618
Phone (585) 394-8800

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/20310/brand/1/csg/1/fhir/r4
  • Direct secure messaging: srinivas.kaza.1@20310.direct.athenahealth.com

Organizations & group practices 3

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.

Hospital & facility affiliations 5

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": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268006400000",
    "number": "1679597652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "229 PARRISH ST",
            "address_2": "SUITE 250",
            "city": "CANANDAIGUA",
            "state": "NY",
            "postal_code": "144241795",
            "telephone_number": "585-394-8800",
            "fax_number": "585-394-5942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "229 PARRISH ST",
            "address_2": "SUITE 250",
            "city": "CANANDAIGUA",
            "state": "NY",
            "postal_code": "144241795",
            "telephone_number": "585-394-8800",
            "fax_number": "585-394-5942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAZA",
        "first_name": "SRINIVAS",
        "middle_name": "R",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2010-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "NY",
            "license": "229404",
            "primary": true
        },
        {
            "code": "207YS0012X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Sleep Medicine",
            "state": "NY",
            "license": "229404",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02509364",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Canandaigua, NY

Sources for this page

Verify at the official NPI Registry.