Individual provider Active NPI

Kalyan K Das, MD

  • Internal Medicine Physician
  • Kenton, OH
National Provider Identifier
1124042916
Registry record updated Oct 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35075560 Issued in OH
Practice address
75 Washington Blvd Ste 102
Kenton, OH 43326-4001
Phone
(419) 675-7110
NPI assigned
Jul 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 35075560 OH Primary

Addresses

Primary practice location

75 Washington Blvd Ste 102
Kenton, OH 43326-4001

Mailing address

5450 Frantz Rd Ste 360
Dublin, OH 43016-4141

Other practice location 1

520 W Lincoln Ave
Ste D
Ada, OH 45810-9466
Phone (419) 634-7300

Other identifiers 4

IdentifierTypeStateIssuer
000000202459OtherOHANTHEM
2114410MedicaidOH
110201308OtherOHRAILROAD MEDICARE
0404755OtherOHUNITED HEALTHCARE

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
I20101112000518 OH Practitioner - Internal Medicine 5597950725 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ohiohealth CorporationGroup PAC ID 6305758426, 2,295 clinicians

Practice addresses (Care Compare)

75 Washington Blvd
Suite 103
Kenton, OH 43326-4001
Phone (614) 788-2713

Hospital & facility affiliations

  • Hardin Memorial Hospital Hospital, Kenton, OH, CCN 361315
  • Lima Memorial Health System Hospital, Lima, OH, CCN 360009

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35075560OHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ohiohealth Corporation CurrentSince Jan 1, 2020 Accepting new patients
Ohiohealth Corporation CurrentSince Jan 1, 2020 Accepting new patients
Ohiohealth Corporation Internal Medicine Current Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

393 E Town St
Ste 116
Columbus, OH 43215
Phone (614) 566-9108

Dept L3652
Columbus, OH 43260

5450 Frantz Rd
Ste 360
Dublin, OH 43016
Phone (614) 533-6497

216 E Lima St
Forest, OH 45843
Phone (419) 273-2553

75 Washington Blvd
Ste 102
Kenton, OH 43326
Phone (419) 674-7110

921 E Franklin St
Kenton, OH 43326
Phone (419) 673-0761

75 Washington Blvd
Ste 103
Kenton, OH 43326
Phone (419) 673-8689

Organizations & group practices 4

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 2

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": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759276800000",
    "number": "1124042916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5450 FRANTZ RD STE 360",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430164141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 WASHINGTON BLVD STE 102",
            "city": "KENTON",
            "state": "OH",
            "postal_code": "433264001",
            "telephone_number": "419-675-7110"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "520 W Lincoln Ave",
            "address_2": "Ste D",
            "address_purpose": "LOCATION",
            "city": "Ada",
            "state": "OH",
            "postal_code": "458109466",
            "country_code": "US",
            "telephone_number": "419-634-7300",
            "fax_number": "419-634-7907",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAS",
        "first_name": "KALYAN",
        "middle_name": "K",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2025-10-01",
        "certification_date": "2025-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35075560",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000202459",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2114410",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "110201308",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "0404755",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kenton, OH

Sources for this page

Verify at the official NPI Registry.