Individual provider Active NPI

Erin Kalla, MD

  • Obstetrics & Gynecology Physician
  • Norwich, CT
National Provider Identifier
1194222562
Registry record updated Jul 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
72039 Issued in CT
Practice address
17 Case St
Norwich, CT 06360-2208
Phone
(860) 886-2461
Fax
(860) 887-8530
NPI assigned
Apr 11, 2018
Last updated
Jul 11, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 72039 CT Primary

Addresses

Primary practice location

17 Case St
Norwich, CT 06360-2208

Mailing address

17 Case St
Norwich, CT 06360-2220
Phone (860) 679-2147

Other practice location 1

263 Farmington Avenue
Op S7313
Farmington, CT 06030-8071
Phone (860) 679-2853

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20220825002535 CT Practitioner - Obstetrics/Gynecology 7315296662 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
OB-GYN Services, P.C.Group PAC ID 1850373077, 17 clinicians

Practice addresses (Care Compare)

17 Case St
Norwich, CT 06360-2208
Phone (860) 889-2909

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
72039CTMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
OB-GYN Services, P.C. Obstetrics & Gynecology CurrentSince Sep 1, 2022 Accepting new patients

Locations

17 Case St
Norwich, CT 06360
Phone (860) 886-2461

330 Washington St
Ste 340
Norwich, CT 06360
Phone (860) 889-2909

Interoperability endpoints

  • Direct secure messaging: erin.kalla@xdr.hhchealthdirect.org

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1523404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657497600000",
    "number": "1194222562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 CASE ST",
            "city": "NORWICH",
            "state": "CT",
            "postal_code": "063602220",
            "telephone_number": "860-679-2147",
            "fax_number": "860-887-8530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 CASE ST",
            "city": "NORWICH",
            "state": "CT",
            "postal_code": "063602208",
            "telephone_number": "860-886-2461",
            "fax_number": "860-887-8530"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "263 Farmington Avenue",
            "address_2": "OP S7313",
            "address_purpose": "LOCATION",
            "city": "Farmington",
            "state": "CT",
            "postal_code": "060308071",
            "country_code": "US",
            "telephone_number": "860-679-2853",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KALLA",
        "first_name": "ERIN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-11",
        "last_updated": "2022-07-11",
        "certification_date": "2022-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CT",
            "license": "72039",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwich, CT

Sources for this page

Verify at the official NPI Registry.