Kathryn I Kleber, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

01068480A Issued in IN

Practice address

7910 W Jefferson Blvd
Suite 201
Fort Wayne, IN 46804-4159

Phone

(260) 436-3789

Fax

(260) 436-2703

NPI assigned

Jun 18, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: kkleber@paik.ssdirect.aprima.com
• FHIR API: https://fhir-myrecord.cerner.com/r4/1ba56762-29f3-48fc-ab7a-bea5f733932b/

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.

• Pediatric Associates Inc

  • Pediatrics Physician
  • Fort Wayne, IN
  • NPI 1659375079
  NPD (past)

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

{
    "created_epoch": "1182124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279065600000",
    "number": "1477758654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7910 W JEFFERSON BLVD",
            "address_2": "SUITE 201",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468044159",
            "telephone_number": "260-436-3789",
            "fax_number": "260-436-2703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7910 W JEFFERSON BLVD",
            "address_2": "SUITE 201",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468044159",
            "telephone_number": "260-436-3789",
            "fax_number": "260-436-2703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLEBER",
        "first_name": "KATHRYN",
        "middle_name": "I",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-18",
        "last_updated": "2010-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IN",
            "license": "01068480A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "01068480A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Krista Kittredge
• Shawn Kitzmiller
• Aydin T. Kizilisik, MD
• Melanie Michelle Kizziar, RN
• Richard J Klaehn, OD
• Rachel Lynn Klein, RN
• Kole Joseph Kleinrichert, DMD
• Elijah Klepper, PT, DPT
• Lynne Lea Klepper, MSN, ANP-BC
• Grace Klimek

• Pediatrics Physician in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• Pediatrics Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.