Individual provider Active NPI

Kuiran Jiao, MD

  • Anesthesiology Physician
  • Apalachin, NY
National Provider Identifier
1962625483
Registry record updated Jan 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
4301502999 Issued in MI
Practice address
23 Azalea Drive
Apalachin, NY 13732
Phone
(607) 220-2809
NPI assigned
Apr 11, 2007
Last updated
Jan 21, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 001236 GA
Anesthesiology Physician 207L00000X 4301502999 MI Primary

Addresses

Primary practice location

23 Azalea Drive
Apalachin, NY 13732

Mailing address

23 Azalea Dr
Apalachin, NY 13732-4318
Phone (607) 220-2809

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, CA, MI3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20161021000949 NY Practitioner - Anesthesiology 0042365447 Reassigns benefits to 3 organizations
I20170622001876 CA Practitioner - Anesthesiology 0042365447 Reassigns benefits to 1 organization
I20210107000767 MI Practitioner - Anesthesiology 0042365447 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mary Imogene Bassett HospitalGroup PAC ID 3779488325, 780 clinicians

Practice addresses (Care Compare)

1 Atwell Rd
Cooperstown, NY 13326-1301
Phone (607) 547-3480

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
001236GAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Anesthesia of New York, P.C. Anesthesiology CurrentSince Sep 1, 2016 Accepting new patients
Mary Imogene Bassett Hospital CurrentSince Sep 12, 2022 Accepting new patients
First Choice Physician Partners Current Accepting new patients
Guthrie Medical Group, P.C. CurrentSince Jul 21, 2020 Accepting new patients
Mary Imogene Bassett Hospital CurrentSince Sep 12, 2022 Accepting new patients
First Choice Physician Partners CurrentSince Jul 15, 2019 Accepting new patients
First Choice Physician Partners CurrentSince Jul 15, 2019 Accepting new patients
Guthrie Medical Group, P.C. Current Accepting new patients
Northstar Anesthesia of Michigan III PLLC CurrentSince Oct 8, 2020 Accepting new patients

Locations

1205 E North St
Manteca, CA 95336
Phone (209) 239-8301

1441 Florida Ave
Modesto, CA 95350
Phone (209) 214-7235

1541 Florida Ave
Ste 101
Modesto, CA 95350
Phone (209) 575-3839

18101 Oakwood Blvd
Dearborn, MI 48124
Phone (313) 593-8780

33155 Annapolis St
Wayne, MI 48184
Phone (734) 467-4000

178 Grandview Dr
Cobleskill, NY 12043
Phone (518) 254-3456

1 Atwell Rd
Cooperstown, NY 13326
Phone (607) 547-3480

130 Center Way
Corning, NY 14830
Phone (607) 936-9971

134 Homer Ave
Cortland, NY 13045
Phone (607) 756-3500

529 Central Ave
Dunkirk, NY 14048
Phone (716) 338-9797

2233 State Route 86
Saranac Lake, NY 12983
Phone (518) 891-4141

1 Guthrie Sq
Sayre, PA 18840
Phone (570) 887-3106

Interoperability endpoints

  • Direct secure messaging: kjiao1494@direct-guthrie.org

Organizations & group practices 9

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611187200000",
    "number": "1962625483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 AZALEA DR",
            "city": "APALACHIN",
            "state": "NY",
            "postal_code": "137324318",
            "telephone_number": "607-220-2809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 AZALEA DRIVE",
            "city": "APALACHIN",
            "state": "NY",
            "postal_code": "13732",
            "telephone_number": "607-220-2809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JIAO",
        "first_name": "KUIRAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-11",
        "last_updated": "2021-01-21",
        "certification_date": "2021-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "GA",
            "license": "001236",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MI",
            "license": "4301502999",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Apalachin, NY

Sources for this page

Verify at the official NPI Registry.