Individual provider Active NPI

Peter Kalabat, MD

  • Specialist
  • Troy, MI
National Provider Identifier
1003900903
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
4301030491 Issued in MI
Practice address
1551 W Big Beaver Rd
Ste D15
Troy, MI 48084-3528
Phone
(248) 649-8700
NPI assigned
Oct 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 4301030491 MI Primary

Addresses

Primary practice location

1551 W Big Beaver Rd
Ste D15
Troy, MI 48084-3528

Mailing address

1551 W Big Beaver Rd
Ste D15
Troy, MI 48084-3528
Phone (248) 649-8700

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
I20080813000816 MI Practitioner - Pathology 2062587801 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Other, 1960
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Exclusive Physicians PLLCGroup PAC ID 9335279942, 20 clinicians

Practice addresses (Care Compare)

911 E 9 Mile Rd
Ferndale, MI 48220-1934
Phone (248) 336-4000

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Exclusive Physicians PLLC CurrentSince May 15, 2017 Accepting new patients

Locations

3051 Momentum Pl
Chicago, IL 60689

20901 W 7 Mile Rd
Detroit, MI 48219
Phone (313) 532-2000

4059 W Davison
Detroit, MI 48238
Phone (313) 491-5400

18463 Livernois Ave
Detroit, MI 48221
Phone (313) 369-1500

911 E 9 Mile Rd
Ferndale, MI 48220
Phone (248) 543-2229

3499 S Linden Rd
Ste 2
Flint, MI 48507
Phone (810) 820-8121

4420 E Davison St
Hamtramck, MI 48212
Phone (313) 334-6711

26300 Woodward Ave
Royal Oak, MI 48067
Phone (248) 546-2110

12660 10 Mile Rd
South Lyon, MI 48178
Phone (248) 348-1131

18591 W 10 Mile Rd
Southfield, MI 48075
Phone (248) 395-2234

28001 Harper Ave
St Clr Shores, MI 48081
Phone (586) 772-7180

Interoperability endpoints

  • Direct secure messaging: peterkalabat@epicpc.allscriptsdirect.net

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1003900903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1551 W BIG BEAVER RD",
            "address_2": "STE D15",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480843528",
            "telephone_number": "248-649-8700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1551 W BIG BEAVER RD",
            "address_2": "STE D15",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480843528",
            "telephone_number": "248-649-8700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALABAT",
        "first_name": "PETER",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MI",
            "license": "4301030491",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, MI

Sources for this page

Verify at the official NPI Registry.