Individual provider Active NPI

Kalen Jacob Rimar, M.D.

  • Urology Physician
  • Jackson, MI
National Provider Identifier
1003179730
Registry record updated Dec 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
4301114132 Issued in MI
Practice address
744 W Michigan Ave
Jackson, MI 49201-1900
Phone
(517) 205-2146
NPI assigned
Jun 18, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 4301114132 MI Primary

Addresses

Primary practice location

744 W Michigan Ave
Jackson, MI 49201-1900

Mailing address

744 W Michigan Ave
Jackson, MI 49201-1900
Phone (517) 205-2146

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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 1

Enrollment IDStateProvider typePAC IDDetails
I20180703002401 MI Practitioner - Urology 0143503920 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
W. a. Foote Memorial Hospital, Inc.Group PAC ID 0244136067, 476 clinicians

Practice addresses (Care Compare)

744 W Michigan Ave
Henry Ford Allegiance Urology W Michigan
Jackson, MI 49201-1900
Phone (517) 768-0600

Hospital & facility affiliations

  • Elara Caring Home health agency, Jackson, MI, CCN 237274
  • Henry Ford Allegiance Health Hospital, Jackson, MI, CCN 230092
  • Hillsdale Hospital Hospital, Hillsdale, MI, CCN 230037
  • Promedica Charles and Virginia Hickman Hospital Hospital, Adrian, MI, CCN 230005
  • Henry Ford Health Hospital Hospital, Detroit, MI, CCN 230053
  • Oaklawn Hospital Hospital, Marshall, MI, CCN 230217

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection47
Removal of tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
W.a. Foote Memorial Hospital, Inc Urology CurrentSince Jun 1, 2020 Accepting new patients
W.a. Foote Memorial Hospital, Inc CurrentSince Jun 1, 2020 Accepting new patients
W. a. Foote Memorial Hospital, Inc Current Accepting new patients
Wa Foote Memorial Hospital, Inc Past Accepting new patients

Locations

744 W Michigan Ave
Jackson, MI 49201
Phone (517) 768-0600

205 N East Ave
Jackson, MI 49201
Phone (517) 788-4730

2800 Spring Arbor Rd
Ste 101
Jackson, MI 49203
Phone (517) 205-2109

813 W Michigan Ave
Jackson, MI 49202
Phone (517) 205-1000

150 S East Ave
Jackson, MI 49201
Phone (517) 205-2146

Interoperability endpoints

  • Direct secure messaging: krimar681047@direct.hfhs.org

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 6

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": "1339977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607990400000",
    "number": "1003179730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "744 W MICHIGAN AVE",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492011900",
            "telephone_number": "517-205-2146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "744 W MICHIGAN AVE",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492011900",
            "telephone_number": "517-205-2146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIMAR",
        "first_name": "KALEN",
        "middle_name": "JACOB",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-18",
        "last_updated": "2020-12-15",
        "certification_date": "2020-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "MI",
            "license": "4301114132",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, MI

Sources for this page

Verify at the official NPI Registry.