KENNETH BRIAN JEZIERSKI MD
NPI 1154986503
Anesthesiology in Valhalla, NY

Q: What is Kenneth Jezierski's NPI number?

The NPI number for Kenneth Jezierski is 1154986503. It was assigned to this individual provider in the NPPES registry on May 1, 2019.

Q: What is Kenneth Jezierski's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Q: When was this NPI record last updated?

The NPPES record for Kenneth Jezierski was last updated on April 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 01, 2019PECOS EnrolledAccepts Medicare Assignment

100 WOODS RD, VALHALLA, NY 10595(914) 493-7000 Get Directions Write a Review

NPPES record last updated: April 12, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 12, 2024, May 3, 2023, May 1, 2019 (3 updates tracked since 2019).

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About Kenneth Brian Jezierski Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KENNETH BRIAN JEZIERSKI MD (NPI 1154986503) is an individual anesthesiology provider in Valhalla, New York, licensed in New Jersey (25MA11891800) and active in the NPI registry since May 2019. He is enrolled in Medicare PECOS, is affiliated with Saint Luke's South Hospital, and maintains a secondary practice location in Paterson.

NPPES Registry Identity

NPI1154986503

Entity TypeIndividualMale

Primary Taxonomy207L00000X

Provider Legal NameKENNETH BRIAN JEZIERSKICredential: MD

Location Address100 WOODS RDValhalla, NY 10595-1530

Mailing Address703 Main StPaterson, NJ 07503-2621 · (973) 754-2000

Phone(914) 493-7000

Sole ProprietorNo

Medical School CMSUniversity Of Kansas School Of Med (kc/wich/sal)Graduated 2019

Enumeration DateMay 1, 2019

Last NPPES UpdateApril 12, 20243 updates tracked since enumeration

NPPES CertifiedApril 12, 2024

✔ NPI 1154986503 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians

Taxonomy Code207L00000X

Licenses✔ Licensed in NJ · 25MA11891800✔ Licensed in NY · 323459

Definition

An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

100 WOODS RD, Valhalla, NY 10595

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Secondary Practice Location 1

Location 1703 Main StPaterson, NJ 07503-2621 · Phone (913) 221-7070

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Kansas City.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kenneth Brian Jezierski Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6901252394

PECOS Enrollment IDI20240927000150, I20241217004372

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Kenneth Jezierski reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Saint Luke's Physician Group Inc

1,091 mi

Infusion Therapy

600 NE ADAMS DAIRY PKWY
Blue Springs, MO 64014

Reassigned Medicare billing, Kansas and Missouri enrollments
Medicare enrollment name: Saint Lukes Physician Group Inc
845 clinicians in this Medicare group

NPI 1376257220 (816) 932-4630

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Saint Luke's South Hospital

Acute Care Hospitals · Overland Park, KS

5/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number170185

Location12300 Metcalf AvenueOverland Park, KS 66213 · Johnson County

Emergency services

St Lukes Hospital Of Kansas City

Acute Care Hospitals · Kansas City, MO

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number260138

Location4401 Wornall RoadKansas City, MO 64111 · Jackson County

Emergency services Birthing friendly

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. LISA ANN SAUER N.P.

Nurse Practitioner (Neonatal, Critical Care)