Jamal Kalala, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

35149 Issued in NC

Practice address

241 NC Highway 16 S
Taylorsville, NC 28681

Phone

(828) 632-1234

Fax

(828) 632-8794

NPI assigned

Jul 29, 2006

Last updated

Jun 20, 2018By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NC

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

Specialty

Internal MedicineAlso: Family Practice, Nephrology

Education

Other, 1982

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Vitae Health Medical North Carolina PLLCGroup PAC ID 7719317932, 41 clinicians

Trinity Health Care PAGroup PAC ID 6608817416, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Duke Health Lake Norman Hospital Hospital, Mooresville, NC, CCN 340129

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Telos Health Systems NC PLLC

  • Internal Medicine Physician
  • Mooresville, NC
  • NPI 1265064414
  Medicare reassignment Care Compare group NPD
• Trinity Health Care PA

  • Internal Medicine Physician
  • Mooresville, NC
  • NPI 1134184583
  Medicare reassignment Care Compare group NPD
• DLP Frye Medical Group LLC

  dba FryeCare Lincolnton Medical Group

  • Rural Health Clinic/Center
  • Lincolnton, NC
  • NPI 1154005965
  Medicare reassignment NPD
• Jamal Kalala, MD, PLLC

  • Internal Medicine Physician
  • Taylorsville, NC
  • NPI 1861667412
  Authorized official Same address or phone
• DLP Frye Medical Group LLC

  dba FryeCare Family Practice Boone

  • Family Medicine Physician
  • Boone, NC
  • NPI 1861930976
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Duke Health Lake Norman Regional Medical Center, Inc.

  dba Duke Health Lake Norman Hospital

  • General Acute Care Hospital
  • Mooresville, NC
  • NPI 1114731064
  Care Compare affiliation

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

{
    "created_epoch": "1154131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529452800000",
    "number": "1114931409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "241 NC HIGHWAY 16 S",
            "city": "TAYLORSVILLE",
            "state": "NC",
            "postal_code": "286813048",
            "telephone_number": "828-632-1234",
            "fax_number": "828-632-8794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "241 NC HIGHWAY 16 S",
            "city": "TAYLORSVILLE",
            "state": "NC",
            "postal_code": "28681",
            "telephone_number": "828-632-1234",
            "fax_number": "828-632-8794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALALA",
        "first_name": "JAMAL",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-29",
        "last_updated": "2018-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NC",
            "license": "35149",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "35149",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "12601",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8912601",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Makayla Alyssa Jones
• Kathryn V Jordan, QMHP
• Michael Stewart Jordan, LPC-A
• Tracy W Jordan, L.P.T.
• K.R.Ram-Z II LLC (Shady Rest Home)
• Jeffrey A Katz, P.A.
• Kenzi Care LLC (Kenzi Care Assisted Living)
• Amy Ann Kinlaw, DMD
• Kirby Chiropractic
• Kanzis Malon Lackey

• Internal Medicine Physician in Taylorsville, NC
• Providers in Taylorsville, NC by specialty
• Internal Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.