Individual provider Active NPI

Sandra Eve Kalm, MD

  • Pediatrics Physician
  • Henderson, NV
National Provider Identifier
1154489102
Registry record updated Sep 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
12099 Issued in NV
Practice address
2512 Citrus Garden Cir
Henderson, NV 89052-2349
Phone
(702) 897-5235
NPI assigned
Dec 4, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 12099 NV Primary

Addresses

Primary practice location

2512 Citrus Garden Cir
Henderson, NV 89052-2349

Mailing address

2512 Citrus Garden Cir
Henderson, NV 89052-2349
Phone (702) 897-5235

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20120912000473 TX Practitioner - Pediatric Medicine 4880787076 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Rosebud Indian Health Service CurrentSince Aug 27, 2012 Accepting new patients
Rosebud Indian Health Service CurrentSince Aug 27, 2012 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1252368000000",
    "number": "1154489102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2512 CITRUS GARDEN CIR",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890522349",
            "telephone_number": "702-897-5235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2512 CITRUS GARDEN CIR",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890522349",
            "telephone_number": "702-897-5235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALM",
        "first_name": "SANDRA",
        "middle_name": "EVE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-04",
        "last_updated": "2009-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NV",
            "license": "12099",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

Verify at the official NPI Registry.