Anthony Edward Kusiak, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

55009 Issued in MA

Practice address

300 Stafford St
Suite 360
Springfield, MA 01104-3581

Phone

(413) 734-8440

Fax

(413) 731-6703

NPI assigned

Dec 6, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

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

Specialty

Internal Medicine

Education

State University of New York Downstate Medical Center, 1983

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Innovative Physician Services LLCGroup PAC ID 1456348127, 15 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Innovative Physician Services LLC

  • Physical Medicine & Rehabilitation Physician
  • Springfield, MA
  • NPI 1922096049

  Internal Medicine

  Medicare reassignment Care Compare group NPD
• Baystate Medical Practices, Inc

  • Emergency Medical Services (Emergency Medicine) Physician
  • Springfield, MA
  • NPI 1548205909

  Internal Medicine

  NPD (past)

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184544000000",
    "number": "1831258102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 STAFFORD ST",
            "address_2": "360",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011043581",
            "telephone_number": "413-734-8440",
            "fax_number": "413-731-6703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 STAFFORD ST",
            "address_2": "SUITE 360",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011043581",
            "telephone_number": "413-734-8440",
            "fax_number": "413-731-6703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUSIAK",
        "first_name": "ANTHONY",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-06",
        "last_updated": "2007-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "55009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ruth Kurniawati, PA-C
• Greta Kurtz
• Jeremy Kurtz, DO
• Sydney Elizabeth Kurtz, DO
• Aimee Kurtzhaltz, M.ED.
• Krista Allison Kusinski, N.N.P.
• Shelley E Kusnierz
• Marybeth Kuta
• Ziad Nour Kutayli, M.D.
• Eleanor Rose Kwapien

• Internal Medicine Physician in Springfield, MA
• Providers in Springfield, MA by specialty
• Internal Medicine Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2007; 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.

Verify at the official NPI Registry.