Individual provider Active NPI

Lawrence Charles Kalker, DPM

  • Podiatrist
  • Newtown, PA
National Provider Identifier
1386684074
Registry record updated Jun 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
SC003447L Issued in PA
Practice address
6 S Sycamore St
Newtown, PA 18940-1533
Phone
(215) 968-4048
Fax
(215) 968-4396
NPI assigned
Jun 8, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 30, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X SC003447L PA Primary

Addresses

Primary practice location

6 S Sycamore St
Newtown, PA 18940-1533

Mailing address

6 S Sycamore St Ste 2
Newtown, PA 18940-1533
Phone (215) 968-4048

Other identifiers 2

IdentifierTypeStateIssuer
KA649065MedicaidPA
20101MedicaidPA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lckdpm@direct.practicefusion.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091015000573 PA Practitioner - Podiatry 8426194812

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SC003447LPAMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Deborah J. Sharlin Single Specialty PastSince Mar 7, 1991 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625011200000",
    "number": "1386684074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 S SYCAMORE ST STE 2",
            "city": "NEWTOWN",
            "state": "PA",
            "postal_code": "189401533",
            "telephone_number": "215-968-4048",
            "fax_number": "215-968-4396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 S SYCAMORE ST",
            "city": "NEWTOWN",
            "state": "PA",
            "postal_code": "189401533",
            "telephone_number": "215-968-4048",
            "fax_number": "215-968-4396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALKER",
        "first_name": "LAWRENCE",
        "middle_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-08",
        "last_updated": "2021-06-30",
        "certification_date": "2021-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "PA",
            "license": "SC003447L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "KA649065",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "20101",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lckdpm@direct.practicefusion.com",
            "affiliation": "N",
            "endpointDescription": "Trinity Health Direct Email Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "6 S Sycamore St",
            "city": "Newtown",
            "state": "PA",
            "country_code": "US",
            "postal_code": "189401533",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Newtown, PA

Sources for this page

Verify at the official NPI Registry.