Individual provider Active NPI

Radoslaw Stefan Kiesz, M.D.

  • Cardiovascular Disease Physician
  • San Antonio, TX
National Provider Identifier
1710924675
Registry record updated Dec 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
H7769 Issued in TX
Practice address
18615 Tuscany Stone
Suite 170
San Antonio, TX 78258-3489
Phone
(210) 272-0649
Fax
(210) 592-1462
NPI assigned
Jun 1, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 30, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X H7769 TX Primary

Addresses

Primary practice location

18615 Tuscany Stone
Suite 170
San Antonio, TX 78258-3489

Mailing address

18615 Tuscany Stone
Suite 170
San Antonio, TX 78258-3486
Phone (210) 272-0098

Other identifiers 1

IdentifierTypeStateIssuer
161214501MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20080319000488 TX Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 4688681919 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology), Internal Medicine
Education
Other, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
R Stefan Kiesz MD PAGroup PAC ID 8325055650, 3 clinicians

Practice addresses (Care Compare)

18615 Tuscany Stone
Suite 170
San Antonio, TX 78258-3498
Phone (210) 272-0098

6830 Heuermann Rd
San Antonio, TX 78256-9665
Phone (210) 802-4350

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
39.04 of 100Reported as individual
Quality
64.75
Improvement activities
0
Cost
43.8

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting157
Leg revascularization (restoring blood flow)28

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Tuscany Heart & Specialty Surgical Center LLC CurrentSince Oct 1, 2020 Accepting new patients
US Cardio of Sa, LLC CurrentSince Apr 1, 2016 Accepting new patients
R. Stefan Kiesz M.D. P.a. Cardiovascular Disease CurrentSince Oct 1, 2003 Accepting new patients
Jawad Zar Shaikh MD PA Cardiovascular Disease Past Accepting new patients
BHS Physicians Network, Inc Past Accepting new patients

Locations

18615 Tuscany Stone
Ste 170
San Antonio, TX 78258
Phone (210) 272-0098

18615 Tuscany Stone
San Antonio, TX 78258

18615 Tuscany Stone
Ste 120
San Antonio, TX 78258
Phone (210) 495-1222

6830 Heuermann Rd
San Antonio, TX 78256
Phone (210) 272-0098

Organizations & group practices 5

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 1

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": "1149120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325203200000",
    "number": "1710924675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18615 TUSCANY STONE",
            "address_2": "SUITE 170",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782583486",
            "telephone_number": "210-272-0098",
            "fax_number": "210-592-1462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18615 TUSCANY STONE",
            "address_2": "SUITE 170",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782583489",
            "telephone_number": "210-272-0649",
            "fax_number": "210-592-1462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIESZ",
        "first_name": "RADOSLAW",
        "middle_name": "STEFAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-01",
        "last_updated": "2011-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TX",
            "license": "H7769",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "161214501",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.