THANMAYI KAZA (MD) – Family Medicine Physician, NPI 1053842492

THANMAYI KAZA (MD) is a healthcare provider. based in Appleton, Wisconsin. specializing in FAMILY PRACTICE, HOSPICE/PALLIATIVE CARE. They hold the professional credentials MD. They hold a License No. 75570 (WI). The NPI Number for THANMAYI KAZA (MD) is 1053842492

Main info

Female
Sole Proprietor
14 Years Of Experience
Accepts Medicare Assignment
Name
THANMAYI KAZA (MD)
NPI
1053842492
Phone
(920) 225-7875
Address
2600 S HERITAGE WOODS DR
Enumeration Date
27 March 2017
Last Update Date
29 December 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9209227342
Graduation Year
2012 (14 years ago)
PAC ID
1052684594
Group Practice PAC ID
8628253259
Professional Enrollment ID
I20210825002487
Address ID
WI549355334FO265XXAVEX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:9State licenses:1Digital endpointsOther names

3,050 FAMILY PRACTICE in WI

Provider Addresses for THANMAYI KAZA (MD)

  • 2600 S HERITAGE WOODS DR

    APPLETON, WI 549151408

    Phone: (920) 225-7875

    Type: Mailing

  • 888 JUNIPER ST NE APT 2710

    ATLANTA, GA 303094842

    Phone: (318) 794-4887

    Type: Mailing

  • 100 WOODRUFF CIR NE

    ATLANTA, GA 303227732

    Phone:

    Type: Location

  • 100 Woodruff Cir NE

    Atlanta, GA 303227732

    Phone:

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2021-08-25

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20210825002487IFamily PracticeWITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes1614$0
99306Initial nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes1414$0
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes1312$0
99305Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes1111$0
View full utilization report →

Insurance plans in this area (ZIP 54915)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8628253259View full group profile
NameSpecialtyState
Physical Medicine And RehabilitationIL
Physical Medicine And Rehabilitation, Orofacial PainPA
Physical Medicine And RehabilitationIL
Physical Medicine And RehabilitationIN
Physical Medicine And RehabilitationIL
Physical Medicine And RehabilitationIL
Physical Medicine And Rehabilitation, Osteopathic Manipulative Medicine, Pain ManagementCO
Internal MedicineIL
-MA
Physical Medicine And RehabilitationIL

Reviews

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Frequently asked questions

Can I use this page to confirm THANMAYI KAZA (MD)'s NPI?
Yes. THANMAYI KAZA (MD) is listed with NPI 1053842492 in the public NPI dataset.
Does CMS list THANMAYI KAZA (MD) as active?
Yes — THANMAYI KAZA (MD) is active in the NPI listing used on this page.
What taxonomy line describes THANMAYI KAZA (MD)?
For research purposes, treat THANMAYI KAZA (MD) as Family Medicine Physician in this dataset. Clinical services aligned with this taxonomy classification.
Where is THANMAYI KAZA (MD) based?
THANMAYI KAZA (MD) is tied to Appleton, Wisconsin in the data we show; additional addresses may exist on the full record.
Is the information about THANMAYI KAZA (MD) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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