Individual provider Active NPI

Craig Andrew Kalik, M.D.

  • Allergy & Immunology Physician
  • Valrico, FL
National Provider Identifier
1366422016
Registry record updated Aug 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
ME0056740 Issued in FL
Practice address
3658 Lithia Pinecrest Rd
Valrico, FL 33594-6305
Phone
(813) 681-6537
Fax
(813) 661-3227
NPI assigned
Jan 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X ME0056740 FL Primary

Addresses

Primary practice location

3658 Lithia Pinecrest Rd
Valrico, FL 33594-6305

Mailing address

3658 Lithia Pinecrest Rd
Valrico, FL 33594-6305
Phone (813) 681-6537

Other identifiers 6

IdentifierTypeStateIssuer
AETNAOtherFL4314479
1169602009OtherFLCIGNA
18750OtherFLBCBS
372713100MedicaidFL
0205356OtherFLUNITED HEALTHCARE
AVMEDOtherFL256659

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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

Enrollment IDStateProvider typePAC IDDetails
I20101118001090 FL Practitioner - Allergy/ImmunologyPractitioner - Pediatric Medicine 2365349438 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Allergy/ImmunologyAlso: Pediatric Medicine
Education
University of South Florida College of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Pediatric Associates, LLCGroup PAC ID 2567375561, 35 clinicians

Practice addresses (Care Compare)

13105 Elk Mountain Dr
Riverview, FL 33579-7184
Phone (813) 689-1106

Hospital & facility affiliations

  • Adventhealth Tampa Hospital, Tampa, FL, CCN 100173

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0056740FLMDAllergy & Immunology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Partners in Allergy & Asthma Care PA Allergy & Immunology CurrentSince Jan 1, 2003 Accepting new patients
Florida Pediatric Associates LLC CurrentSince Oct 1, 2019 Accepting new patients
Florida Pediatric Associates, LLC CurrentSince Oct 1, 2019 Accepting new patients

Locations

13105 Elk Mountain Dr
Riverview, FL 33579
Phone 8136816537237

1800 Dr Martin Luther King St N
St Petersburg, FL 33704
Phone (727) 821-2121

3658 Lithia Pinecrest Rd
Valrico, FL 33596
Phone (813) 681-6537

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: craigkalik@paa.ssdirect.aprima.com

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 and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1137628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219104000000",
    "number": "1366422016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3658 LITHIA PINECREST RD",
            "city": "VALRICO",
            "state": "FL",
            "postal_code": "335946305",
            "telephone_number": "813-681-6537",
            "fax_number": "813-661-3227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3658 LITHIA PINECREST RD",
            "city": "VALRICO",
            "state": "FL",
            "postal_code": "335946305",
            "telephone_number": "813-681-6537",
            "fax_number": "813-661-3227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALIK",
        "first_name": "CRAIG",
        "middle_name": "ANDREW",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-19",
        "last_updated": "2008-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "FL",
            "license": "ME0056740",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "4314479",
            "identifier": "AETNA",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "1169602009",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "18750",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "372713100",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "0205356",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "256659",
            "identifier": "AVMED",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Valrico, FL

Sources for this page

Verify at the official NPI Registry.