Individual provider Active NPI

Allan G. Kalich, D.O.

  • General Practice Physician
  • Mesquite, TX
National Provider Identifier
1053594820
Registry record updated Feb 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
E6817 Issued in TX
Practice address
1838 Ridgeview St
Mesquite, TX 75149-1515
Phone
(972) 288-4810
NPI assigned
Dec 14, 2007
Last updated
Feb 16, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 16, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X E6817 TX Primary

Addresses

Primary practice location

1838 Ridgeview St
Mesquite, TX 75149-1515

Mailing address

1838 Ridgeview St
Mesquite, TX 75149-1515
Phone (972) 288-4810

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20120406000441 TX Practitioner - Osteopathic Manipulative MedicinePractitioner - General PracticePractitioner - Family Practice 1355502956 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Osteopathic Manipulative MedicineAlso: Family Practice, General Practice
Education
University of North Texas HSC, College of Osteopathic Med, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1838 Ridgeview St
Mesquite, TX 75149-1515

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Allan G. Kalich, D.O., P.a. General Practice CurrentSince Nov 9, 2011 Accepting new patients

Locations

1838 Ridgeview St
Mesquite, TX 75149
Phone (972) 288-4610

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1197590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329350400000",
    "number": "1053594820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1838 RIDGEVIEW ST",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751491515",
            "telephone_number": "972-288-4810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1838 RIDGEVIEW ST",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751491515",
            "telephone_number": "972-288-4810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALICH",
        "first_name": "ALLAN",
        "middle_name": "G.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-12-14",
        "last_updated": "2012-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "TX",
            "license": "E6817",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesquite, TX

Sources for this page

Verify at the official NPI Registry.