CHRISTOPHER R KIELISZAK D.O.
NPI 1346508421
Otolaryngology - Facial Plastic Surgery in Tampa, FL

Active since April 26, 2012PECOS EnrolledAccepts Medicare Assignment
95.19/100
CMS Quality Rating
1000 W KENNEDY BLVD # 202, TAMPA, FL 33606(813) 434-3238 Get Directions Write a Review

NPPES record last updated: August 6, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Aug 6, 2025, Sep 15, 2024, Sep 30, 2019 and 1 more (4 updates tracked since 2018).

About Christopher R Kieliszak D.o. NPPES

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

CHRISTOPHER R KIELISZAK D.O. (NPI 1346508421) is an individual facial plastic surgery provider in Tampa, Florida, licensed in Florida (OS19621) and active in the NPI registry since April 2012. He is enrolled in Medicare PECOS, is affiliated with Lakeland Regional Medical Center, and maintains 5 additional practice locations.

NPPES Registry Identity

NPI1346508421
Entity TypeIndividualMale
Primary Taxonomy207YS0123X
Provider Legal NameCHRISTOPHER R KIELISZAKCredential: D.O.
Location Address1000 W KENNEDY BLVD # 202Tampa, FL 33606-1940
Mailing Address700 S Harbour Island Blvd Unit 137Tampa, FL 33602-5727 · (813) 434-3238
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateApril 26, 2012
Last NPPES UpdateAugust 6, 20254 updates tracked since enumeration
NPPES CertifiedAugust 6, 2025
✔ NPI 1346508421 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngology · Facial Plastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207YS0123X
Licenses✔ Licensed in FL · OS19621✔ Licensed in NY · 300797
Definition
An otolaryngologist who specializes in facial plastic surgery.
1000 W KENNEDY BLVD # 202, Tampa, FL 33606

Secondary Practice Locations 5

Location 1810 Altos Oaks DrLos Altos, CA 94024 · Phone (650) 941-8888
Location 2395 West Ave Ste 301Canandaigua, NY 14424-1548 · Phone (585) 396-3110 · Fax (585) 396-0979
Location 34638 Genesee StGeneseo, NY 14454-1090 · Phone (585) 243-2319 · Fax (585) 991-6032
Location 41206 Driving Park AveNewark, NY 14513 · Phone (315) 331-1313 · Fax (315) 573-7787
Location 51425 S Howard AveTampa, FL 33606-3491 · Phone (813) 253-2635 · Fax (813) 254-7241

Accepted 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

Christopher R Kieliszak D.o. 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 ID4183906209
PECOS Enrollment IDI20191016002781, I20241203002644
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 Reassignments

7

Medicare enrollment records show Christopher Kieliszak reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Otolaryngology/Facial Plastic Surgery
1000 W KENNEDY BLVD # 202
Tampa, FL 33606
  • Reassigned Medicare billing, Florida enrollment
Dermatology
4197 WOODLANDS PKWY
Palm Harbor, FL 34685
  • Reassigned Medicare billing, Florida enrollment
  • 23 clinicians in this Medicare group
Multi-Specialty
1324 LAKELAND HILLS BLVD, FINANCE DEPARTMENT
Lakeland, FL 33805
  • Reassigned Medicare billing, Florida enrollment
  • 740 clinicians in this Medicare group
Obstetrics & Gynecology
121 S MAIN ST
Warsaw, NY 14569
  • Reassigned Medicare billing, New York enrollment
  • 1,030 clinicians in this Medicare group
General Acute Care Hospital
2 COULTER RD
Clifton Springs, NY 14432
  • Reassigned Medicare billing, New York enrollment
  • 872 clinicians in this Medicare group
Family Medicine
181 LOMB MEMORIAL DR
Rochester, NY 14623
  • Reassigned Medicare billing, New York enrollment
  • 2,285 clinicians in this Medicare group
General Acute Care Hospital
1200 DRIVING PARK AVE
Newark, NY 14513
  • Reassigned Medicare billing, New York enrollment
  • 679 clinicians in this Medicare group

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 3

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

Lakeland Regional Medical Center

Acute Care Hospitals · Lakeland, FL
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100157
Location1324 Lakeland Hills BlvdLakeland, FL 33805 · Polk County
Emergency services Birthing friendly

Newark-Wayne Community Hospital

Acute Care Hospitals · Newark, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330030
Location111 Driving Park AvenueNewark, NY 14513 · Wayne County
Emergency services Birthing friendly

Rochester General Hospital

Acute Care Hospitals · Rochester, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330125
Location1425 Portland AvenueRochester, NY 14621 · Monroe County
Emergency services Birthing friendly

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

95.19/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality70.62
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES

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

Otolaryngology (Otolaryngology/Facial Plastic Surgery)
1000 W KENNEDY BLVD # 202
TAMPA, FL 33606

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Christopher Kieliszak's NPI number?

The NPI number for Christopher Kieliszak is 1346508421. It was assigned to this individual provider in the NPPES registry on April 26, 2012.

Where is Christopher Kieliszak located?

Christopher Kieliszak practices at 1000 W Kennedy Blvd # 202, Tampa, FL 33606. The listed phone number is (813) 434-3238.

What is Christopher Kieliszak's specialty?

The primary specialty registered for this NPI is Otolaryngology, specializing in Facial Plastic Surgery, with taxonomy code 207YS0123X.

Is Christopher Kieliszak enrolled in Medicare?

Yes. Christopher Kieliszak is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Christopher Kieliszak's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Christopher Kieliszak reassigns Medicare benefits to 7 organizations: Ck Med Consulting LLC (Tampa, FL), Palm Harbor Dermatology PA (Palm Harbor, FL), Lakeland Regional Health Systems, Inc. (Lakeland, FL), Western New York Medical Practice PC (Warsaw, NY), Clifton Springs Sanitarium Co (Clifton Springs, NY) and 2 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Christopher Kieliszak's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Christopher Kieliszak accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) and 2 other insurers list Christopher Kieliszak as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Christopher Kieliszak affiliated with any hospitals?

According to CMS data, Christopher Kieliszak is affiliated with Lakeland Regional Medical Center, Newark-Wayne Community Hospital and Rochester General Hospital.

When was this NPI record last updated?

The NPPES record for Christopher Kieliszak was last updated on August 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.