Active NPI
Melissa A Kalt, MD
- Internal Medicine Physician
- Waukesha, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 43263
- Practice address
- 2315 E Moreland Blvd
Waukesha, WI 53186-2909 - Phone
- (262) 532-5700
- Fax
- (262) 532-5701
- NPI assigned
- Feb 8, 2006
- Last updated
- Jan 13, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 43263 | WI | Primary |
| Pediatrics Physician | 208000000X | 43263 | WI |
Addresses
Primary practice location
2315 E Moreland Blvd
Waukesha, WI 53186-2909
Mailing address
2315 E Moreland Blvd
Waukesha, WI 53186-2909
Phone (262) 532-5700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326011701 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 43263 | WI | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Froedtert &the Medical College of Wisconsin Community Physicians, Inc. | Current | Accepting new patients | |
| Froedtert &the Medical College of Wisconsin Community Physicians, Inc. | Internal Medicine | Current | Accepting new patients |
| The Medical College of Wisconsin, Inc. | Internal Medicine | Current | Accepting new patients |
| Prohealth Medical Group Inc | Internal Medicine | Past | Accepting new patients |
Locations
W168N11237 Western Ave
Germantown, WI 53022
Phone (262) 253-5060
10911 N Port Washington Rd
Mequon, WI 53092
Phone (262) 241-2080
Bin 88350
Milwaukee, WI 53288
Phone (414) 805-3122
2315 E Moreland Blvd
Waukesha, WI 53186
Phone (262) 532-5700
1155 N Mayfair Rd
Wauwatosa, WI 53226
Phone (414) 955-5990
840 N 87th St
Wauwatosa, WI 53226
Phone (414) 805-5540
8701 Watertown Plank Rd
Wauwatosa, WI 53226
Phone (414) 456-4100
Organizations & group practices 4
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.
-
- Internal Medicine Physician
- Menomonee Falls, WI
- NPI 1568787448
-
- Internal Medicine Physician
- Milwaukee, WI
- NPI 1699720086
-
- Durable Medical Equipment & Medical Supplies
- Wauwatosa, WI
- NPI 1154947224
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139356800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1421107200000",
"number": "1326011701",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2315 E MORELAND BLVD",
"city": "WAUKESHA",
"state": "WI",
"postal_code": "531862909",
"telephone_number": "262-532-5700",
"fax_number": "262-532-5701"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2315 E MORELAND BLVD",
"city": "WAUKESHA",
"state": "WI",
"postal_code": "531862909",
"telephone_number": "262-532-5700",
"fax_number": "262-532-5701"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KALT",
"first_name": "MELISSA",
"middle_name": "A",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-08",
"last_updated": "2015-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "WI",
"license": "43263",
"primary": true
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "WI",
"license": "43263",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1326011701",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Waukesha, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2015; 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.