Active NPI
Michele D. Kaleta, MD
- Pediatrics Physician
- Fairfield, OH
National Provider Identifier
1447221643
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 35070776
- Practice address
- 5900 Boymel Dr
Fairfield, OH 45014-5526 - Phone
- (513) 874-9460
- Fax
- (513) 874-5731
- NPI assigned
- Jan 27, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 35070776 | OH | Primary |
Addresses
Primary practice location
5900 Boymel Dr
Fairfield, OH 45014-5526
Mailing address
5900 Boymel Dr
Fairfield, OH 45014-5526
Phone (513) 874-9460
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0279596 | Medicaid | OH |
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35070776 | OH | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138320000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1383782400000",
"number": "1447221643",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5900 BOYMEL DR",
"city": "FAIRFIELD",
"state": "OH",
"postal_code": "450145526",
"telephone_number": "513-874-9460",
"fax_number": "513-874-5731"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5900 BOYMEL DR",
"city": "FAIRFIELD",
"state": "OH",
"postal_code": "450145526",
"telephone_number": "513-874-9460",
"fax_number": "513-874-5731"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KALETA",
"first_name": "MICHELE",
"middle_name": "D.",
"name_prefix": "Ms.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-27",
"last_updated": "2013-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "OH",
"license": "35070776",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0279596",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fairfield, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.