Active NPI
Morgan Johonn Kizzar, DPM
- Foot & Ankle Surgery Podiatrist
- Canon City, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 0000747
- Practice address
- 604 S 9TH St
Canon City, CO 81212-4910 - Phone
- (719) 275-1037
- Fax
- (877) 807-4835
- NPI assigned
- Jul 3, 2012
- Last updated
- Oct 23, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 0000747 | CO | Primary |
Addresses
Primary practice location
604 S 9TH St
Canon City, CO 81212-4910
Mailing address
PO Box 576
Canon City, CO 81215-0576
Phone (719) 275-1037
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
604 S 9TH St
Canon City, CO 81212-4910
Phone (719) 275-1037
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.13 of 100
- Quality
- 79.06
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 32 |
| Removal of skin lesions | 27 |
| Removal of nail tissue | 1296 |
| Removal or shaving of skin growth | 250 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0000747 | CO | MD | Occupational Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Foot and Ankle Specialists of Colorado PLLC | Current | Accepting new patients |
Locations
1336 Bauer Ln
#B
Canon City, CO 81212
Phone (719) 275-1037
1336 Bauer Ln
Ste B
Canon City, CO 81212
Phone (719) 275-1037
604 S 9th St
Canon City, CO 81212
Phone (719) 275-1037
Interoperability endpoints
- dr.kizzar@faasocp-co.direct.office.nextgen.com
- https://fhir.meditouchehr.com/api/fhir/r4/
Organizations & group practices 1
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.
-
- Podiatrist
- Canon City, CO
- NPI 1215321856
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1341273600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1571788800000",
"number": "1912261074",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 576",
"city": "CANON CITY",
"state": "CO",
"postal_code": "812150576",
"telephone_number": "719-275-1037",
"fax_number": "877-807-4835"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "604 S 9TH ST",
"city": "CANON CITY",
"state": "CO",
"postal_code": "812124910",
"telephone_number": "719-275-1037",
"fax_number": "877-807-4835"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIZZAR",
"first_name": "MORGAN",
"middle_name": "JOHONN",
"credential": "DPM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-07-03",
"last_updated": "2019-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "CO",
"license": "0000747",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Canon City, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2019; 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.