Individual provider Active NPI

Lyle A Kaliser, M.D.

  • Internal Medicine Physician
  • Dallas, TX
National Provider Identifier
1396798807
Registry record updated Apr 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
E3334 Issued in TX
Practice address
10670 N Central Expy Ste 120
Dallas, TX 75231-2130
Phone
(214) 692-8541
Fax
(214) 242-1035
NPI assigned
May 18, 2006
Last updated
Apr 14, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X E3334 TX Primary

Addresses

Primary practice location

10670 N Central Expy Ste 120
Dallas, TX 75231-2130

Mailing address

10670 N Central Expy Ste 120
Dallas, TX 75231-2130
Phone (214) 692-8541

Other identifiers 2

IdentifierTypeStateIssuer
B584 8K2762OtherTXBLUE CROSS
036022401MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20110105001137 TX Practitioner - Internal Medicine 8729277884

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E3334TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Consultants in Radiology PA PastSince Apr 17, 2022 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649894400000",
    "number": "1396798807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10670 N CENTRAL EXPY STE 120",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752312130",
            "telephone_number": "214-692-8541",
            "fax_number": "214-242-1035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10670 N CENTRAL EXPY STE 120",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752312130",
            "telephone_number": "214-692-8541",
            "fax_number": "214-242-1035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALISER",
        "first_name": "LYLE",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-18",
        "last_updated": "2022-04-14",
        "certification_date": "2022-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "E3334",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "B584 8K2762",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036022401",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.