Individual provider Active NPI

Ara E. Kallibjian, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Parma, OH
National Provider Identifier
1497718878
Registry record updated Feb 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
36002424 Issued in OH
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

Updated by the provider on Feb 22, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0688377MedicaidOH
2700183OtherUNITEDHEALTHCARE
341687195027OtherCARESOURCE
000000167332OtherANTHEM
366732233011OtherMEDICAL 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 Hospital, Parma, OH, CCN 360041

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue190
Removal of nail tissue139

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Ara E Kallibjian Current Accepting new patients
Ara E Kallibjian Foot & Ankle Surgery CurrentSince Aug 1, 1989 Accepting new patients

Locations

6115 Powers Blvd
Ste 305
Parma, OH 44129
Phone (440) 743-2525

Interoperability endpoints

  • Direct secure messaging: akallibjian37506@ehrdirect.uhhospitals.org
  • Direct secure messaging: 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.

Hospital & facility affiliations 1

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

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

Verify at the official NPI Registry.