Active NPI
Daniel Bennett Kalb, M.D.
- Family Medicine Physician
- Franklin, TN
National Provider Identifier
1124097852
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 40300
- Practice address
- 4091 Mallory LN
Suite 118
Franklin, TN 37067-4849 - Phone
- (615) 791-9784
- Fax
- (615) 791-9785
- NPI assigned
- Mar 15, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 40300 | TN | Primary |
Addresses
Primary practice location
4091 Mallory LN
Suite 118
Franklin, TN 37067-4849
Mailing address
4091 Mallory LN
Suite 118
Franklin, TN 37067-4849
Phone (615) 791-9784
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3336879 | Medicaid | TN | |
| 4138714 | Other | TN | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Apr 1, 2019 through Apr 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 40300 | TN | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lima Memorial Joint Operating Company | Past | Accepting new patients | |
| C H Wilkinson Physician Network | Family Medicine | Past | Accepting new patients |
| Cool Springs Family Medicine, PLC | Family Medicine | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/996/brand/1/csg/213/fhir/r4
- https://fhir4.healow.com/fhir/r4/EJDCAA/Endpoint/EJDCAA
Organizations & group practices 3
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.
-
- Family Medicine Physician
- Franklin, TN
- NPI 1700894508
-
- Family Medicine Physician
- Irving, TX
- NPI 1457382947
-
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142380800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1219881600000",
"number": "1124097852",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4091 MALLORY LN",
"address_2": "SUITE 118",
"city": "FRANKLIN",
"state": "TN",
"postal_code": "370674849",
"telephone_number": "615-791-9784",
"fax_number": "615-791-9785"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4091 MALLORY LN",
"address_2": "SUITE 118",
"city": "FRANKLIN",
"state": "TN",
"postal_code": "370674849",
"telephone_number": "615-791-9784",
"fax_number": "615-791-9785"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KALB",
"first_name": "DANIEL",
"middle_name": "BENNETT",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-15",
"last_updated": "2008-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TN",
"license": "40300",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3336879",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "4138714",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Franklin, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2008; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.