Active NPI
Prajeet Kaza, MD
- Diagnostic Radiology Physician
- Travis Afb, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 13901792-1205
- Practice address
- 60 MDG/SGQQ
101 Bodin Circle
Travis Afb, CA 94535-1809 - Phone
- (707) 423-7208
- NPI assigned
- Mar 30, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 13901792-1205 | UT | Primary |
| Neuroradiology Physician | 2085N0700X | 13901792-1205 | UT |
Addresses
Primary practice location
60 MDG/SGQQ
101 Bodin Circle
Travis Afb, CA 94535-1809
Mailing address
60 MDG/SGQQ
101 Bodin Circle
Travis Afb, CA 94535-1809
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | pkaza693962@direct.med.utah.edu | Direct | University of Utah |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT, CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Northeastern Ohio University College of Medicine, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- University of Utah Adult Services
Practice addresses (Care Compare)
West Sacramento, CA 95691
Phone (801) 581-2121
3236 Corniche LN
Roseville, CA 95661-3970
Phone (888) 522-4514
50 N Medical Dr
Salt Lake City, UT 84132-0100
Phone (801) 585-6387
Hospital & facility affiliations
- University of Utah Hospital and Clinics
- Mercy Health - Defiance Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13901792-1205 | UT | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Utah Adult Services | Current | Accepting new patients | |
| University of Utah Adult Services | Current | Accepting new patients | |
| Columbus Radiology Corp | Diagnostic Radiology | Current | Accepting new patients |
| University of Utah Adult Services | Diagnostic Radiology | Current | Accepting new patients |
| Radiology Associates of Canton, Inc. | Neuroradiology | Past | Accepting new patients |
Locations
50 N Medical Dr
Slc, UT 84132
Phone (801) 581-2292
Interoperability endpoints
- pkaza693962@direct.med.utah.edu
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.
-
- General Practice Physician
- Salt Lake City, UT
- NPI 1114321981
-
- Diagnostic Radiology Physician
- Salt Lake City, UT
- NPI 1598169419
CA
-
- Clinical Cardiac Electrophysiology Physician
- Salt Lake City, UT
- NPI 1851795652
-
- Diagnostic Radiology Physician
- Canton, OH
- NPI 1912982034
Neuroradiology
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Defiance, OH
- NPI 1629011234
-
- General Acute Care Hospital
- Salt Lake City, UT
- NPI 1487734976
-
- General Acute Care Hospital
- Salt Lake City, UT
- NPI 1588656870
-
- General Acute Care Hospital
- Salt Lake City, UT
- NPI 1699889576
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1553904000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773014400000",
"number": "1730640715",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "60 MDG/SGQQ",
"address_2": "101 BODIN CIRCLE",
"city": "TRAVIS AFB",
"state": "CA",
"postal_code": "945351809"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "60 MDG/SGQQ",
"address_2": "101 BODIN CIRCLE",
"city": "TRAVIS AFB",
"state": "CA",
"postal_code": "945351809",
"telephone_number": "707-423-7208"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAZA",
"first_name": "PRAJEET",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-03-30",
"last_updated": "2026-03-09",
"certification_date": "2026-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "UT",
"license": "13901792-1205",
"primary": true
},
{
"code": "2085N0700X",
"taxonomy_group": "",
"desc": "Radiology, Neuroradiology",
"state": "UT",
"license": "13901792-1205",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "pkaza693962@direct.med.utah.edu",
"affiliation": "Y",
"affiliationName": "University of Utah",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "50 N Medical Dr",
"city": "Salt Lake City",
"state": "UT",
"country_code": "US",
"postal_code": "841320100",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Travis Afb, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.