Organization Active NPI

Namdeo Kale MD PC

  • Internal Medicine Physician
  • Rochester, MI
National Provider Identifier
1194902585
Registry record updated Jan 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301079962 Issued in MI
Legal business name
NAMDEO KALE MD PC
Practice address
1135 W University Dr
Ste 225
Rochester, MI 48307-1871
Phone
(248) 650-4680
Fax
(248) 652-1095
NPI assigned
Jan 28, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2008

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

Authorized official

Name
Namdeo Kale, MDNPI 1558435628
Title
President
Phone
(586) 303-5246

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 4301079962 MI Primary

Addresses

Primary practice location

1135 W University Dr
Ste 225
Rochester, MI 48307-1871

Mailing address

PO Box 7104
Sterling Heights, MI 48311-7104
Phone (248) 650-4680

Other identifiers 1

IdentifierTypeStateIssuer
1106353581OtherMIBCBSM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060110000048 MI Part B Supplier - Clinic/Group Practice 1658394291 Receives reassigned benefits from 1 practitioner
Practice locations: Bloomfield Hills, MI; Pontiac, MI

National Provider Directory

National Provider Directory

Locations

35 S Johnson St
Ste 2D
Pontiac, MI 48341
Phone (248) 338-0860

1100 W University Dr
Ste 2
Rochester Hills, MI 48307
Phone (248) 650-4680

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1201478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201478400000",
    "number": "1194902585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7104",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483117104",
            "telephone_number": "248-650-4680",
            "fax_number": "248-652-1095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1135 W UNIVERSITY DR",
            "address_2": "STE 225",
            "city": "ROCHESTER",
            "state": "MI",
            "postal_code": "483071871",
            "telephone_number": "248-650-4680",
            "fax_number": "248-652-1095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NAMDEO KALE MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-28",
        "last_updated": "2008-01-28",
        "status": "A",
        "authorized_official_last_name": "KALE",
        "authorized_official_first_name": "NAMDEO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "586-303-5246",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301079962",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "1106353581",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.