Jeffrey C Kalt, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

4301051524 Issued in MI

Practice address

30301 Woodward Ave Ste 101
Royal Oak, MI 48073-0981

Phone

(248) 398-2525

Fax

(248) 398-9286

NPI assigned

Dec 30, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 10

Medicare fee-for-service enrollment

Enrolled in MI

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

Ophthalmology

Education

Wayne State University School of Medicine, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bianca Kizy MD PLLCGroup PAC ID 2668984980, 2 clinicians

Darryl T Goldberg MD PCGroup PAC ID 9739259011, 2 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as group

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jkalt1459058@epic00.shdirect.org

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.

• Bianca Kizy MD PLLC

  • Ophthalmology Physician
  • Royal Oak, MI
  • NPI 1881494201
  Medicare reassignment Care Compare group NPD
• Darryl T Goldberg MD PC

  • Ophthalmology Physician
  • Royal Oak, MI
  • NPI 1528121803
  Medicare reassignment Care Compare group NPD
• John a. Vollmer, MD, PC

  • Family Medicine Physician
  • Roseville, MI
  • NPI 1790965838
  NPD (past)
• William Beaumont Hospital

  • General Acute Care Hospital
  • Grosse Pointe, MI
  • NPI 1932396017
  NPD (past)

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

{
    "created_epoch": "1135900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745193600000",
    "number": "1225015191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30301 WOODWARD AVE STE 101",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480730981",
            "telephone_number": "248-398-2525",
            "fax_number": "248-398-9286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30301 WOODWARD AVE STE 101",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480730981",
            "telephone_number": "248-398-2525",
            "fax_number": "248-398-9286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALT",
        "first_name": "JEFFREY",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-30",
        "last_updated": "2025-04-21",
        "certification_date": "2025-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MI",
            "license": "4301051524",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ADMINASTAR",
            "identifier": "0308390001",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "180023697",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CARE NETWORK",
            "identifier": "180F375320",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF MICHIGAN",
            "identifier": "180F375320",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "0004237942",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3117704",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DETROIT MEDICAL CENTER",
            "identifier": "4237942",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCARE",
            "identifier": "C3069",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GREAT LAKES",
            "identifier": "101836",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HAP",
            "identifier": "E89376",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rebecca Kalis
• Ellanya Lourde Kallabat
• Shabana Kalladi Puthanpurayil, M.D
• Eleanor Kallo, LPC
• Shikha Kalra, DO
• Danielle Kamat
• Rita Marie Kamieniecki, MS, OTR/L
• Kamil Abraham DDS PC
• Pradeep Kaminoulu, M.D.
• Hassan D. Kanaan, MD

• Ophthalmology Physician in Royal Oak, MI
• Providers in Royal Oak, MI by specialty
• Ophthalmology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2025; 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.