Kishan L Kella MD PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

KK046739 Issued in MI

Legal business name

KISHAN L KELLA MD PC

Practice address

625 N Michigan Ave
Saginaw, MI 48602-4340

Phone

(989) 752-6116

Fax

(989) 752-0074

NPI assigned

May 26, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Kishan L Kella, MD PCNPI 1134310659

Title

Owner

Phone

(989) 752-6116

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kishan L Kella, M.D

  • Family Medicine Physician
  • Saginaw, MI
  • NPI 1134310659
  Medicare reassignment Authorized official
• Jan Michael Goldberger, D.O.

  • Family Medicine Physician
  • Saginaw, MI
  • NPI 1881759868
  NPD (past)

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1243382400000",
    "number": "1053367524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 N MICHIGAN AVE",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486024340",
            "telephone_number": "989-752-6116",
            "fax_number": "989-752-0074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 N MICHIGAN AVE",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486024340",
            "telephone_number": "989-752-6116",
            "fax_number": "989-752-0074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KISHAN L KELLA MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-26",
        "last_updated": "2009-05-27",
        "status": "A",
        "authorized_official_last_name": "KELLA",
        "authorized_official_first_name": "KISHAN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "989-752-6116",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD PC"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "KK046739",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4723665",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4600834",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Thomas J Kirk, MSW; LCSW
• Tami Marie Kirkendolph, BA
• Brashaun Kirkland
• Matthew Thomas Kisabeth, OD
• Barbara Ann Kish, CFNP
• Bernard Kissane
• Kelli Renee Kissel, CRNA
• Elizabeth Mary Kitchen, FNP-C
• Kizhakepat Sukumaran
• Katelyn Klaczkiewicz

• Family Medicine Physician in Saginaw, MI
• Providers in Saginaw, MI by specialty
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.