NPIMap

Individual provider Active NPI

Steve Z Kallabat, MD

  • Internal Medicine Physician
  • Bloomfield Hills, MI
National Provider Identifier
1245291475
Registry record updated May 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301070138 Issued in MI
Practice address
1109 W Long Lake Rd
Bloomfield Hills, MI 48302-1967
Phone
(248) 723-2400
Fax
(248) 723-5785
NPI assigned
Mar 29, 2006
Last updated
May 6, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 4301070138 MI Primary

Addresses

Primary practice location

1109 W Long Lake Rd
Bloomfield Hills, MI 48302-1967

Mailing address

1109 W Long Lake Rd
Bloomfield Hills, MI 48302-1967
Phone (248) 723-2400

Other practice location 1

31333 Southfield Rd Ste 130
Beverly Hills, MI 48025-5473
Phone (248) 952-9190

Other identifiers 1

IdentifierTypeStateIssuer
4334237MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070430000270 MI Practitioner - Internal MedicinePractitioner - Pediatric Medicine 1153427646 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Pediatric Medicine
Education
Wayne State University School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Internal Medicine and Pediatrics of Bloomfield PCGroup PAC ID 8325144819, 3 clinicians

Practice addresses (Care Compare)

1109 W Long Lake Rd
Bloomfield Hills, MI 48302-1967
Phone (248) 723-2400

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
58.38 of 100Reported as group
Quality
92.87
Improvement activities
0
Cost
70.79

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Affiliated Knee Pain Specialists, PLLC Internal Medicine CurrentSince May 1, 2018 Accepting new patients
Internal Medicine and Pediatrics of Bloomfield PC Internal Medicine CurrentSince Apr 30, 2003 Accepting new patients
Affiliated Knee Pain Specialists PLLC Internal Medicine CurrentSince May 1, 2018 Accepting new patients
Exclusive Physicians Group, PLLC Past Accepting new patients
Affiliated Knee Pain Specialists, PLLC Internal Medicine Past Accepting new patients
Podcare PC Past Accepting new patients

Locations

31333 Southfield Rd
Ste 130
Beverly Hills, MI 48025
Phone (248) 952-9190

1109 W Long Lake Rd
Ste 101
Bloomfield Hills, MI 48302
Phone (248) 723-2400

1109 W Long Lake Rd
Bloomfld Hls, MI 48302
Phone (248) 594-0002

2503 S Linden Rd
Ste 120
Flint, MI 48532
Phone (313) 512-7111

45445 Mound Rd
Ste 105
Shelby Township, MI 48317
Phone (248) 952-9190

28345 Beck Rd
Ste 410
Wixom, MI 48393
Phone (248) 331-1700

Interoperability endpoints

  • Direct secure messaging: stevekallabat@impbpc.allscriptsdirect.net

Organizations & group practices 6

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 12

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": "1143590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620259200000",
    "number": "1245291475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1109 W LONG LAKE RD",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483021967",
            "telephone_number": "248-723-2400",
            "fax_number": "248-723-5785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1109 W LONG LAKE RD",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483021967",
            "telephone_number": "248-723-2400",
            "fax_number": "248-723-5785"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "31333 Southfield Rd Ste 130",
            "address_purpose": "LOCATION",
            "city": "Beverly Hills",
            "state": "MI",
            "postal_code": "480255473",
            "country_code": "US",
            "telephone_number": "248-952-9190",
            "fax_number": "248-952-9190",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KALLABAT",
        "first_name": "STEVE",
        "middle_name": "Z",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-29",
        "last_updated": "2021-05-06",
        "certification_date": "2021-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301070138",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4334237",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomfield Hills, MI

Sources for this page

Verify at the official NPI Registry.