Individual provider Active NPI

Perry Michael Kalis II, J.D., M.D., M.A.

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Pensacola, FL
National Provider Identifier
1134539307
Registry record updated Oct 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Internal Medicine) PhysicianTaxonomy code 207RH0002X
License
ME138572 Issued in FL
Practice address
1000 W Moreno St
Pensacola, FL 32501-2316
Phone
(850) 469-7406
NPI assigned
Apr 28, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 35.131530 OH
Hospice and Palliative Medicine (Internal Medicine) Physician 207RH0002X 35.131530 OH
Hospice and Palliative Medicine (Internal Medicine) Physician 207RH0002X ME138572 FL Primary

Addresses

Primary practice location

1000 W Moreno St
Pensacola, FL 32501-2316

Mailing address

PO Box 17668
Pensacola, FL 32522-7668

Other practice location 1

2420 Danube Ct
Kettering, OH 45420
Phone (740) 607-4529

Other identifiers 1

IdentifierTypeStateIssuer
101573800MedicaidFL

Other names 1

  • Dr. P. Michael Kalis II Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20190122001219 FL Practitioner - Internal Medicine 9931321965 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Cincinnati College of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baptist Medical Group LLCGroup PAC ID 9638215734, 258 clinicians

Practice addresses (Care Compare)

1110 Gulf Breeze Pkwy
Suite 200
Gulf Breeze, FL 32561-4803
Phone (850) 437-8810

123 Baptist Way
Pensacola, FL 32503-2254
Phone (448) 227-3100

125 Baptist Way
Pensacola, FL 32503-2254

9400 University Pkwy
Pensacola, FL 32514-5485

Hospital & facility affiliations

  • Baptist Hospital Hospital, Pensacola, FL, CCN 100093
  • Gulf Breeze Hospital Hospital, Gulf Breeze, FL, CCN 100266

Merit-based Incentive Payment System (MIPS)

Final score
81.01 of 100Reported as group
Quality
62.34
Promoting interoperability
95
Improvement activities
40
Cost
78.51

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Juris Doctor, Master of Arts, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35.131530OHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Medical Group LLC Internal Medicine CurrentSince Jan 1, 2021 Accepting new patients
Baptist Physician Associates LLC Hospice and Palliative Medicine CurrentSince Jan 3, 2019 Accepting new patients
Baptist Medical Group LLC CurrentSince Jan 1, 2021 Accepting new patients

Locations

1000 W Moreno St
Pensacola, FL 32501
Phone (850) 434-4011

9400 University Pkwy
Ste 409
Pensacola, FL 32514
Phone (850) 994-7256

123 Baptist Way
Pensacola, FL 32503
Phone (850) 434-4011

1110 Gulf Breeze Pkwy
Pensacola Beach, FL 32561
Phone (850) 438-1848

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.

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": "1398643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572480000000",
    "number": "1134539307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 17668",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325227668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 W MORENO ST",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325012316",
            "telephone_number": "850-469-7406"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2420 Danube Ct",
            "address_purpose": "LOCATION",
            "city": "Kettering",
            "state": "OH",
            "postal_code": "45420",
            "country_code": "US",
            "telephone_number": "740-607-4529",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KALIS",
        "first_name": "PERRY",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "J.D., M.D., M.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-28",
        "last_updated": "2019-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35.131530",
            "primary": false
        },
        {
            "code": "207RH0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": "OH",
            "license": "35.131530",
            "primary": false
        },
        {
            "code": "207RH0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": "FL",
            "license": "ME138572",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101573800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "P.",
            "last_name": "KALIS",
            "middle_name": "MICHAEL",
            "prefix": "DR.",
            "suffix": "II",
            "credential": "J.D., M.D., M.A.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Pensacola, FL

Sources for this page

Verify at the official NPI Registry.