NPIMap

Individual provider Active NPI

Michael John Kalish, MD

  • Family Medicine Physician
  • High Point, NC
National Provider Identifier
1073533246
Registry record updated Apr 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
30924 Issued in NC
Practice address
4515 Premier Dr
Suite 201
High Point, NC 27265-8357
Phone
(336) 802-2610
Fax
(336) 802-2611
NPI assigned
Jul 20, 2006
Last updated
Apr 2, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 30924 NC Primary

Addresses

Primary practice location

4515 Premier Dr
Suite 201
High Point, NC 27265-8357

Mailing address

4515 Premier Dr Ste 201
High Point, NC 27265-8356
Phone (336) 802-2610

Other practice location 1

13 Medical Park Dr
Lexington, NC 27292-6768
Phone (336) 243-8615

Other identifiers 3

IdentifierTypeStateIssuer
1212660012OtherNCDME
080083331OtherNCRR MEDICARE
8947764MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100327000501 NC Practitioner - Family Practice 1052447125 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Texas Medical School at Houston, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wake Forest Health Network LLCGroup PAC ID 4183538895, 276 clinicians

Practice addresses (Care Compare)

4515 Premier Dr
Suite 201
High Point, NC 27265-8356
Phone (336) 802-2610

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Wake Forest Health Network, LLC CurrentSince Jan 1, 1998 Accepting new patients
Wake Forest Health Network LLC Current Accepting new patients
Cornerstone Health Care PA Family Medicine CurrentSince Jan 1, 1998 Accepting new patients
Wake Forest Health Network, LLC Family Medicine Past Accepting new patients
Cornerstone Health Care PA Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Wake Forest Health Network, LLC Family Medicine Past Accepting new patients
Wake Forest Health Network LLC Family Medicine Past Accepting new patients

Locations

1701 Westchester Dr
Ste 850
High Point, NC 27262
Phone (336) 802-2400

4515 Premier Dr
Ste 201
High Point, NC 27265
Phone (336) 802-2610

4590 Premier Dr
High Point, NC 27265
Phone (336) 333-6306

905 Phillips Ave
High Point, NC 27262
Phone (336) 802-2040

13 Medical Park Dr
Lexington, NC 27292
Phone (336) 236-4000

100 Kimel Forest Dr
Winston Salem, NC 27103
Phone (336) 713-0947

Organizations & group practices 9

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.

Hospital & facility affiliations 5

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": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775088000000",
    "number": "1073533246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4515 PREMIER DR STE 201",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272658356",
            "telephone_number": "336-802-2610",
            "fax_number": "336-802-2611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4515 PREMIER DR",
            "address_2": "SUITE 201",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272658357",
            "telephone_number": "336-802-2610",
            "fax_number": "336-802-2611"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13 Medical Park Dr",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "NC",
            "postal_code": "272926768",
            "country_code": "US",
            "telephone_number": "336-243-8615",
            "fax_number": "336-724-8624",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KALISH",
        "first_name": "MICHAEL",
        "middle_name": "JOHN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-20",
        "last_updated": "2026-04-02",
        "certification_date": "2026-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "30924",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DME",
            "identifier": "1212660012",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "080083331",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8947764",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in High Point, NC

Sources for this page

Verify at the official NPI Registry.