Active NPI
Ara E. Kallibjian, D.P.M.
- Foot & Ankle Surgery Podiatrist
- Parma, OH
National Provider Identifier
1497718878
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 36002424
- Practice address
- 6115 Powers Blvd
Parma, OH 44129-5471 - Phone
- (440) 743-2525
- Fax
- (440) 743-2526
- NPI assigned
- Apr 7, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 36002424 | OH | Primary |
Addresses
Primary practice location
6115 Powers Blvd
Parma, OH 44129-5471
Mailing address
P O Box 74637
Cleveland, OH 44194-4637
Phone (440) 743-2525
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0688377 | Medicaid | OH | |
| 2700183 | Other | UNITEDHEALTHCARE | |
| 341687195027 | Other | CARESOURCE | |
| 000000167332 | Other | ANTHEM | |
| 366732233011 | Other | MEDICAL MUTUAL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050804000971 | OH | Practitioner - Podiatry | 6305875899 | Practice locations: Parma, OH |
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Kent State University College of Podiatric Medicine, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
6115 Powers Blvd
Suite 305
Parma, OH 44129-5469
Phone (440) 743-2525
Hospital & facility affiliations
- Parma Community General Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 190 |
| Removal of nail tissue | 139 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr. Ara E Kallibjian | Current | Accepting new patients | |
| Ara E Kallibjian | Foot & Ankle Surgery | Current | Accepting new patients |
Locations
6115 Powers Blvd
Ste 305
Parma, OH 44129
Phone (440) 743-2525
Interoperability endpoints
- akallibjian37506@ehrdirect.uhhospitals.org
- kallibjian@aaafc-oh.direct.office.nextgen.com
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.
-
- Non-Pharmacy Dispensing Site
- Parma, OH
- NPI 1558805135
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Parma, OH
- NPI 1164481677
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144368000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1203638400000",
"number": "1497718878",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P O BOX 74637",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441944637",
"telephone_number": "440-743-2525",
"fax_number": "440-743-2526"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6115 POWERS BLVD",
"city": "PARMA",
"state": "OH",
"postal_code": "441295471",
"telephone_number": "440-743-2525",
"fax_number": "440-743-2526"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KALLIBJIAN",
"first_name": "ARA",
"middle_name": "E.",
"name_prefix": "Dr.",
"credential": "D.P.M.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-07",
"last_updated": "2008-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "OH",
"license": "36002424",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0688377",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITEDHEALTHCARE",
"identifier": "2700183",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CARESOURCE",
"identifier": "341687195027",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000167332",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL MUTUAL",
"identifier": "366732233011",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Parma, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.