Chris John Kalucis, DO

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

34005019 Issued in OH

Practice address

15299 Bagley Rd
Cleveland, OH 44130-4823

Phone

(440) 234-5150

Fax

(440) 234-9138

NPI assigned

Sep 22, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

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.

• Foundation Surgery Affiliate of Middleburg Heights, LLC

  • Ambulatory Surgical Clinic/Center
  • Middleburg Heights, OH
  • NPI 1659324705
  NPD (past)

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412899200000",
    "number": "1124127345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25761 LORAIN RD",
            "address_2": "3RD FL",
            "city": "N OLMSTED",
            "state": "OH",
            "postal_code": "44070",
            "telephone_number": "440-779-1112",
            "fax_number": "440-779-0247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15299 BAGLEY RD",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441304823",
            "telephone_number": "440-234-5150",
            "fax_number": "440-234-9138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALUCIS",
        "first_name": "CHRIS",
        "middle_name": "JOHN",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-22",
        "last_updated": "2014-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "OH",
            "license": "34005019",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "040013530",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0125411",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kimberly Kalo, CNS
• Sheetal Kalokhe, B.D.S.
• Anouva Kalra-Lall, MD
• Mehak Kalra
• Shekhar Kalra, MD
• Susan R Kalucis, CNP
• Tetiana Kalugina
• Anusha Kalugotla Venkata Naga, MD
• Pete Kaluszyk, AA
• Sarvagnya Kalvakunta

• Otolaryngology Physician in Cleveland, OH
• Providers in Cleveland, OH by specialty
• Otolaryngology Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.