NPIMap

Individual provider Active NPI

Kalen A Carty Kemker, MD

  • Family Medicine Physician
  • Salem, IN
National Provider Identifier
1265548838
Registry record updated Jun 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
01040217 Issued in IN
Practice address
1002 N Shelby St Ste 1000
Salem, IN 47167-2307
Phone
(812) 883-3627
NPI assigned
Aug 23, 2006
Last updated
Jun 7, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 01040217 IN Primary

Addresses

Primary practice location

1002 N Shelby St Ste 1000
Salem, IN 47167-2307

Mailing address

1002 N Shelby St Ste 1000
Salem, IN 47167-2307

Other identifiers 1

IdentifierTypeStateIssuer
100356370MedicaidIN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kalen.carty.kemker.1@7598.direct.athenahealth.com St. Vincent Medical Group, Inc.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20100419000160 IN Practitioner - Family Practice 3274660568 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Indiana University School of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
St Vincent Medical Group IncGroup PAC ID 7012047640, 728 clinicians

Practice addresses (Care Compare)

1002 N Shelby St
Salem, IN 47167-2307

250 W 96TH St
Suite 520
Indianapolis, IN 46260-1317

8433 Harcourt Rd
Suite 100
Indianapolis, IN 46260-2193
Phone (317) 583-7600

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
St. Vincent Medical Group, Inc. Family Medicine Current Accepting new patients
St. Vincent Medical Group, Inc. CurrentSince Jul 1, 2012 Accepting new patients
St Vincent Medical Group Inc Past Accepting new patients

Locations

8433 Harcourt Rd
Ste 100
Indianapolis, IN 46260
Phone (317) 583-7702

1002 N Shelby St
Ste 1000
Salem, IN 47167
Phone (812) 833-3627

Organizations & group practices 3

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 7

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": "1156291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654560000000",
    "number": "1265548838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1002 N SHELBY ST STE 1000",
            "city": "SALEM",
            "state": "IN",
            "postal_code": "471672307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1002 N SHELBY ST STE 1000",
            "city": "SALEM",
            "state": "IN",
            "postal_code": "471672307",
            "telephone_number": "812-883-3627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARTY KEMKER",
        "first_name": "KALEN",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-23",
        "last_updated": "2022-06-07",
        "certification_date": "2022-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01040217",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100356370",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kalen.carty.kemker.1@7598.direct.athenahealth.com",
            "affiliation": "Y",
            "affiliationName": "St. Vincent Medical Group, Inc.",
            "address_1": "1002 N Shelby St Ste 1000",
            "city": "Salem",
            "state": "IN",
            "country_code": "US",
            "postal_code": "471672307",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Salem, IN

Sources for this page

Verify at the official NPI Registry.