NPIMap

Individual provider Active NPI

Kevin C Calyer, RPA

  • Physician Assistant
  • Gloversville, NY
National Provider Identifier
1306814892
Registry record updated Jan 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
005041 Issued in NY
Practice address
99 E State St
Gloversville, NY 12078-1203
Phone
(518) 773-5559
Fax
(518) 773-5601
NPI assigned
Mar 9, 2006
Last updated
Jan 21, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 005041 NY Primary

Addresses

Primary practice location

99 E State St
Gloversville, NY 12078-1203

Mailing address

99 E State St
PO Box 1250
Gloversville, NY 12078-1203
Phone (518) 773-5559

Other identifiers 2

IdentifierTypeStateIssuer
387545OtherNYMVP HEALTHPLAN
000411536002OtherNYBSH NE NY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20040325001434 NY Practitioner - Physician Assistant 4789576737 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St. Mary's HealthcareGroup PAC ID 7618960709, 114 clinicians

Practice addresses (Care Compare)

380 Guy Park Ave
Amsterdam, NY 12010-1065
Phone (518) 770-7830

99 E State St
Gloversville, NY 12078-1203
Phone (518) 773-5690

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
001575CTMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
St Marys Healthcare CurrentSince Jul 1, 2025 Accepting new patients
Nathan Littauer Hospital & Nursing Home CurrentSince Jan 28, 2008 Accepting new patients
St. Mary's Healthcare CurrentSince Jul 1, 2025 Accepting new patients
Nathan Littauer Hospital Association Past Accepting new patients
St. Mary's Healthcare Past Accepting new patients
Nathan Littauer Hospital Association Past Accepting new patients
Thomas S Eagan MD PC PastSince Feb 1, 1994 Accepting new patients

Locations

380 Guy Park Ave
Amsterdam, NY 12010
Phone (518) 841-7415

427 Guy Park Ave
Amsterdam, NY 12010
Phone (518) 442-1404

99 E State St
Gloversville, NY 12078
Phone (518) 773-5690

Interoperability endpoints

  • Direct secure messaging: kcalyer@mohawkvalleyortho.medentdirect.com

Organizations & group practices 8

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 5

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": "1141862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421798400000",
    "number": "1306814892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 E STATE ST",
            "address_2": "PO BOX 1250",
            "city": "GLOVERSVILLE",
            "state": "NY",
            "postal_code": "120781203",
            "telephone_number": "518-773-5559",
            "fax_number": "518-773-5601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 E STATE ST",
            "city": "GLOVERSVILLE",
            "state": "NY",
            "postal_code": "120781203",
            "telephone_number": "518-773-5559",
            "fax_number": "518-773-5601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALYER",
        "first_name": "KEVIN",
        "middle_name": "C",
        "credential": "RPA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-09",
        "last_updated": "2015-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "005041",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MVP HEALTHPLAN",
            "identifier": "387545",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BSH NE NY",
            "identifier": "000411536002",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gloversville, NY

Sources for this page

Verify at the official NPI Registry.