Individual provider Active NPI

Rita R. Kazlauskas, M.D.

  • Pediatrics Physician
  • Massillon, OH
National Provider Identifier
1841277670
Registry record updated Aug 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
35061459 Issued in OH
Practice address
7452 Fulton Dr NW
Ste. B
Massillon, OH 44646-9393
Phone
(330) 833-4596
Fax
(330) 833-1817
NPI assigned
Dec 22, 2005
Last updated
Aug 26, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 35061459 OH Primary

Addresses

Primary practice location

7452 Fulton Dr NW
Ste. B
Massillon, OH 44646-9393

Mailing address

7452 Fulton Dr NW
Ste. B
Massillon, OH 44646-9393
Phone (330) 833-4596

Other identifiers 1

IdentifierTypeStateIssuer
0823345MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20100415000007 OH Practitioner - Pediatric Medicine 0648307181

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35061459OHMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Children's Hospital Medical Center of Akron Past Accepting new patients
Children's Hospital Medical Center of Akron Pediatrics Past Accepting new patients
Radiology Associates of Canton, Inc. Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1135209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377475200000",
    "number": "1841277670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7452 FULTON DR NW",
            "address_2": "STE. B",
            "city": "MASSILLON",
            "state": "OH",
            "postal_code": "446469393",
            "telephone_number": "330-833-4596",
            "fax_number": "330-833-1817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7452 FULTON DR NW",
            "address_2": "STE. B",
            "city": "MASSILLON",
            "state": "OH",
            "postal_code": "446469393",
            "telephone_number": "330-833-4596",
            "fax_number": "330-833-1817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAZLAUSKAS",
        "first_name": "RITA",
        "middle_name": "R.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-22",
        "last_updated": "2013-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OH",
            "license": "35061459",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0823345",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Massillon, OH

Sources for this page

Verify at the official NPI Registry.