Michael Kalisvaart, MD

Primary specialty

Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X

License

15233 Issued in NV

Practice address

555 N Arlington Ave
Reno, NV 89503-4723

Phone

(775) 786-3040

Fax

(775) 788-5216

NPI assigned

Jul 10, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NV

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

Specialty

Sports Medicine

Education

University of Southern California Keck School of Medicine, 2008

Medicare assignment

May accept Medicare assignment

Group practices

Reno Orthopaedic Clinic LTDGroup PAC ID 2567355316, 96 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Renown South Meadows Medical Center Hospital, Reno, NV, CCN 290049
• Humboldt General Hospital Hospital, Winnemucca, NV, CCN 291308
• Carson Tahoe Regional Medical Center Hospital, Carson City, NV, CCN 290019

Merit-based Incentive Payment System (MIPS)

Final score

90.71 of 100Reported as apm

Quality

81.42

Promoting interoperability

100

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mkalisvaart422148@direct.med.utah.edu
• Direct secure messaging: mkalisvaart97369@direct.renown.org
• Direct secure messaging: mkalisvaart24703@renoorthopediccenter.gardenplotortho.direct-ci.com

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.

• Reno Orthopaedic Clinic, LTD

  • Orthopaedic Surgery Physician
  • Reno, NV
  • NPI 1245228972
  Medicare reassignment Care Compare group NPD
• Humboldt General Hospital

  • Critical Access Hospital
  • Winnemucca, NV
  • NPI 1750498010
  Medicare reassignment NPD
• Reno Orthopaedic Clinic, LTD

  • Orthopaedic Surgery Physician
  • Fernley, NV
  • NPI 1619839727
  NPD
• Reno Orthopaedic Surgery Center LLC

  • Ambulatory Surgical Clinic/Center
  • Reno, NV
  • NPI 1932390234
  NPD (past)
• Frederick Health Hospital Inc

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Carson Tahoe Regional Healthcare

  • General Acute Care Hospital
  • Carson City, NV
  • NPI 1255360160
  Care Compare affiliation
• Carson Tahoe Regional Healthcare

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Carson City, NV
  • NPI 1568281988

  Hospital

  Care Compare affiliation
• Humboldt General Hospital

  • Critical Access Hospital
  • Winnemucca, NV
  • NPI 1750498010
  Care Compare affiliation
• Renown South Meadows Medical Center

  • General Acute Care Hospital
  • Reno, NV
  • NPI 1720058027
  Care Compare affiliation

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

{
    "created_epoch": "1215648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640131200000",
    "number": "1194989012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 N ARLINGTON AVE",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895034723",
            "telephone_number": "775-786-3040",
            "fax_number": "775-786-1887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 N ARLINGTON AVE",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895034723",
            "telephone_number": "775-786-3040",
            "fax_number": "775-788-5216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALISVAART",
        "first_name": "MICHAEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-10",
        "last_updated": "2021-12-22",
        "certification_date": "2021-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NV",
            "license": "15233",
            "primary": false
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "NV",
            "license": "15233",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1194989012",
            "state": "NV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "12703525",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mkalisvaart97369@Direct.renown.org",
            "affiliation": "N",
            "address_1": "555 N Arlington Ave",
            "city": "Reno",
            "state": "NV",
            "country_code": "US",
            "postal_code": "895034723",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Sumodh C. Kalathil, M.D
• Tyson Franklin Kales, OD
• Anahita Kalianivala, PHD
• Eugene Michael Kalin, MD FRCP (C )
• Melissa T Kalisvaart, PT
• Lauren Kalogridis, LCSW, PMH-C, CD-DTI
• Joshua Kalsbeek, LMFT
• Hayley Kalt, APRN
• John Richard Kaminski, DDS
• Debra Kamka, MA

• Sports Medicine (Orthopaedic Surgery) Physician in Reno, NV
• Providers in Reno, NV by specialty
• Sports Medicine (Orthopaedic Surgery) Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.