Active NPI
Caleb B. Kallen, M.D.
- Reproductive Endocrinology Physician
- Philadelphia, PA
National Provider Identifier
1407885114
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Reproductive Endocrinology Physician
- License
- MD071623L
- Practice address
- 834 Chestnut Street
Suite 300
Philadelphia, PA 19107-5127 - Phone
- (215) 955-5000
- Fax
- (215) 923-1089
- NPI assigned
- Jul 3, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Reproductive Endocrinology Physician | 207VE0102X | 56465 | GA | |
| Reproductive Endocrinology Physician | 207VE0102X | MD071623L | PA | Primary |
Addresses
Primary practice location
834 Chestnut Street
Suite 300
Philadelphia, PA 19107-5127
Mailing address
834 Chestnut Street
Suite 300
Philadelphia, PA 19107-5127
Phone (215) 955-5000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 56465 | GA | MD | Reproductive Endocrinology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shady Grove Reproductive Science Center PC | Past | Accepting new patients | |
| Shady Grove Fertility Center of Pennsylvania PLC | Reproductive Endocrinology | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Reproductive Endocrinology Physician
- Chesterbrook, PA
- NPI 1922353366
-
- Ambulatory Surgical Clinic/Center
- Rockville, MD
- NPI 1437232758
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151884800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1344470400000",
"number": "1407885114",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "834 CHESTNUT STREET",
"address_2": "SUITE 300",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191075127",
"telephone_number": "215-955-5000",
"fax_number": "215-923-1089"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "834 CHESTNUT STREET",
"address_2": "SUITE 300",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191075127",
"telephone_number": "215-955-5000",
"fax_number": "215-923-1089"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KALLEN",
"first_name": "CALEB",
"middle_name": "B.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-03",
"last_updated": "2012-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "207VE0102X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
"state": "GA",
"license": "56465",
"primary": false
},
{
"code": "207VE0102X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
"state": "PA",
"license": "MD071623L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.