Individual provider Active NPI

Kristine Leigh McCallum, MD

  • Family Medicine Physician
  • Chillicothe, OH
National Provider Identifier
1093707705
Registry record updated Dec 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35073334M Issued in OH
Practice address
100 N Walnut St
Chillicothe, OH 45601-2420
Phone
(740) 779-4500
NPI assigned
Aug 18, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2020

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 35073334M OH Primary

Addresses

Primary practice location

100 N Walnut St
Chillicothe, OH 45601-2420

Mailing address

272 Hospital Rd
Suite 3
Chillicothe, OH 45601-9031
Phone (740) 779-8234

Other identifiers 1

IdentifierTypeStateIssuer
2118390MedicaidOH

Other names 1

  • Kristine Leigh Bell Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address adena.endocrine.diabetes@adena.medicity.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20060217000526 OH Practitioner - Family Practice 5698780245 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Loyola University of Chicago, Stritch School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Adena Medical Group LLCGroup PAC ID 1153456579, 384 clinicians

Practice addresses (Care Compare)

100 N Walnut St
Chillicothe, OH 45601-9031
Phone (740) 779-4500

Hospital & facility affiliations

  • Adena Home Health Home health agency, Chillicothe, OH, CCN 367271
  • National Church Residences Home and Community Serv Home health agency, Chillicothe, OH, CCN 368083
  • Adena Regional Medical Center Hospital, Chillicothe, OH, CCN 360159
  • Greenfield Area Medical Center Hospital, Greenfield, OH, CCN 361304
  • Adena Fayette Medical Center Hospital, Washington CH, OH, CCN 361331
  • Berger Hospital Hospital, Circleville, OH, CCN 360170

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35073334MOHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Adena Medical Group LLC Family Medicine CurrentSince Apr 1, 2010 Accepting new patients

Locations

100 N Walnut St
Chillicothe, OH 45601
Phone (740) 773-2621

4437 State Route 159
Ste 125
Chillicothe, OH 45601
Phone (740) 779-4570

4439 State Route 159
Ste 130
Chillicothe, OH 45601
Phone (740) 779-4360

272 Hospital Rd
Ste 3
Chillicothe, OH 45601
Phone (740) 779-8234

536 Mirabeau St
Greenfield, OH 45123
Phone (937) 981-7707

12340 State Route 104
Waverly, OH 45690
Phone (740) 941-5180

Interoperability endpoints

  • Direct secure messaging: kmccallum512548@direct.osumc.edu

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 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": "1124323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609200000000",
    "number": "1093707705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "272 HOSPITAL RD",
            "address_2": "SUITE 3",
            "city": "CHILLICOTHE",
            "state": "OH",
            "postal_code": "456019031",
            "telephone_number": "740-779-8234",
            "fax_number": "740-779-7477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N WALNUT ST",
            "city": "CHILLICOTHE",
            "state": "OH",
            "postal_code": "456012420",
            "telephone_number": "740-779-4500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCALLUM",
        "first_name": "KRISTINE",
        "middle_name": "LEIGH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-18",
        "last_updated": "2020-12-29",
        "certification_date": "2020-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35073334M",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2118390",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "adena.endocrine.diabetes@adena.medicity.net",
            "affiliation": "N",
            "address_1": "100 N Walnut St",
            "city": "Chillicothe",
            "state": "OH",
            "country_code": "US",
            "postal_code": "456012420",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KRISTINE",
            "last_name": "BELL",
            "middle_name": "LEIGH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Chillicothe, OH

Sources for this page

Verify at the official NPI Registry.