NPIMap

Individual provider Active NPI

Paul James Kalekas, D.O.

  • Internal Medicine Physician
  • Las Vegas, NV
National Provider Identifier
1467604652
Registry record updated Oct 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
452 Issued in NV
Practice address
2010 Goldring Ave
100
Las Vegas, NV 89106-4002
Phone
(702) 588-7373
Fax
(702) 588-7748
NPI assigned
Oct 21, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 21, 2008

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 452 NV Primary

Addresses

Primary practice location

2010 Goldring Ave
100
Las Vegas, NV 89106-4002

Mailing address

10385 Pilot Mountain CT
Las Vegas, NV 89129-4528
Phone (702) 528-0871

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101006000685 NV Practitioner - Internal Medicine 6103018304 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
D and D Milne LTDGroup PAC ID 4880786516, 6 clinicians

Practice addresses (Care Compare)

2010 Wellness Way
Suite 100
Las Vegas, NV 89106-4142
Phone (702) 588-7373

Hospital & facility affiliations

  • Valley Hospital Medical Center Hospital, Las Vegas, NV, CCN 290021
  • University Medical Center Hospital, Las Vegas, NV, CCN 290007
  • Sunrise Hospital and Medical Center Hospital, Las Vegas, NV, CCN 290003
  • Spring Valley Hospital Medical Center Hospital, Las Vegas, NV, CCN 290046

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
452NVMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
D and D Milne, LTD Internal Medicine CurrentSince Jul 5, 2010 Accepting new patients
Valley Hospital Medical Center Past Accepting new patients

Locations

2010 Goldring Ave
#100
Las Vegas, NV 89106
Phone (702) 366-1655

2010 Wellness Way
Ste 100
Las Vegas, NV 89106
Phone (702) 588-7373

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.

Hospital & facility affiliations 20

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1224547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1224547200000",
    "number": "1467604652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10385 PILOT MOUNTAIN CT",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891294528",
            "telephone_number": "702-528-0871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2010 GOLDRING AVE",
            "address_2": "100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891064002",
            "telephone_number": "702-588-7373",
            "fax_number": "702-588-7748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALEKAS",
        "first_name": "PAUL",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-10-21",
        "last_updated": "2008-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NV",
            "license": "452",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.