Individual provider Active NPI

John Athanasios Kazianis, M.D.

  • Pulmonary Disease Physician
  • Stamford, CT
National Provider Identifier
1730348418
Registry record updated Aug 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
50833 Issued in CT
Practice address
190 W Broad St
Stamford, CT 06902-3633
Phone
(203) 348-2437
NPI assigned
Jun 6, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 27, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 50833 CT Primary

Addresses

Primary practice location

190 W Broad St
Stamford, CT 06902-3633

Mailing address

190 W Broad St
Stamford, CT 06902-3633
Phone (203) 348-2437

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20120703000244 CT Practitioner - Pulmonary DiseasePractitioner - Internal MedicinePractitioner - Critical Care (Intensivists) 3375708092 Reassigns benefits to 1 organization
I20170814003119 NY Practitioner - Critical Care (Intensivists)Practitioner - Pulmonary Disease 3375708092 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore - Lij Medical PC CurrentSince Jun 19, 2017 Accepting new patients
Yale University CurrentSince Apr 3, 2020 Accepting new patients
North Shore-Lij Medical PC CurrentSince Jun 19, 2017 Accepting new patients
Yale University Current Accepting new patients
Yale University CurrentSince Apr 3, 2020 Accepting new patients

Locations

800 Howard Ave
New Haven, CT 06519
Phone (203) 785-2140

50 Division St
New Haven, CT 06511
Phone (203) 785-2140

190 W Broad St
Stamford, CT 06902
Phone (203) 348-2437

10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091

300 Community Dr
Plandome, NY 11030

972 Brush Hollow Rd
Westbury, NY 11590

Interoperability endpoints

  • Direct secure messaging: jkazianis305798@ecommunitydirect.com

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1212710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377561600000",
    "number": "1730348418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 W BROAD ST",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069023633",
            "telephone_number": "203-348-2437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 W BROAD ST",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069023633",
            "telephone_number": "203-348-2437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAZIANIS",
        "first_name": "JOHN",
        "middle_name": "ATHANASIOS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-06-06",
        "last_updated": "2013-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "CT",
            "license": "50833",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stamford, CT

Sources for this page

Verify at the official NPI Registry.