Mark A Kallus, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

4301053693 Issued in MI

Practice address

360 E Chicago St
Coldwater, MI 49036-2086

Phone

(517) 278-8871

Fax

(517) 278-6053

NPI assigned

May 11, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Community Health Center of Branch County

  • Internal Medicine Physician
  • Coldwater, MI
  • NPI 1306873286
  Medicare reassignment NPD
• Community Health Center of Branch County

  • General Practice Physician
  • Coldwater, MI
  • NPI 1124055009

  Internal Medicine

  NPD
• Community Health Center of Branch County

  • Hematology & Oncology Physician
  • Coldwater, MI
  • NPI 1215964192
  NPD
• Community Health Center of Branch County

  • Pediatric Adolescent Medicine Physician
  • Coldwater, MI
  • NPI 1619304458
  NPD
• Marlette Regional Hospital

  • Critical Access Hospital
  • Marlette, MI
  • NPI 1346325214
  NPD
• Marlette Regional Hospital

  • Emergency Medicine Physician
  • Marlette, MI
  • NPI 1598840498
  NPD
• Marlette Regional Hospital

  • Family Medicine Physician
  • Marlette, MI
  • NPI 1730988999
  NPD
• Regio T Penna MD, PC

  • Specialist
  • Coldwater, MI
  • NPI 1245213537
  NPD
• Aesculapius PC

  • Emergency Medicine Physician
  • Coldwater, MI
  • NPI 1750331922
  NPD (past)
• Major Hospital

  • General Acute Care Hospital
  • Shelbyville, IN
  • NPI 1174555692
  NPD (past)

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1235001600000",
    "number": "1306896352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 307",
            "city": "COLDWATER",
            "state": "MI",
            "postal_code": "490360307",
            "telephone_number": "517-278-8861",
            "fax_number": "517-278-6053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 E CHICAGO ST",
            "city": "COLDWATER",
            "state": "MI",
            "postal_code": "490362086",
            "telephone_number": "517-278-8871",
            "fax_number": "517-278-6053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALLUS",
        "first_name": "MARK",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-11",
        "last_updated": "2009-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301053693",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4396777",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Annette Marie Jones, PTA
• Carrie Lin Jones, RN
• Hans Jonsson, PT
• Darby Kahler
• Jagadeesh Kumar Kalavakunta, M.D.,
• Lakshmi Kandathil Purayil
• Emad Kassas, MD
• Johnson Kattathra
• Amanda Justine Kaufman, M.A., LLPC
• Narges Kazemi Zadeh Gol

• Internal Medicine Physician in Coldwater, MI
• Providers in Coldwater, MI by specialty
• Internal Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2009; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.