Individual provider Active NPI

Mina C Kalfas, M.D.

  • Addiction Medicine (Family Medicine) Physician
  • Covington, KY
National Provider Identifier
1508808361
Registry record updated Nov 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Family Medicine) PhysicianTaxonomy code 207QA0401X
License
31945 Issued in KY
Practice address
20 W 18TH St
Covington, KY 41011-3329
Phone
(859) 757-0717
Fax
(859) 331-2425
NPI assigned
Jun 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Family Medicine) Physician 207QA0401X 31945 KY Primary
Family Medicine Physician 207Q00000X 31945 KY

Addresses

Primary practice location

20 W 18TH St
Covington, KY 41011-3329

Mailing address

PO Box 635283
Cincinnati, OH 45263-5283
Phone (859) 757-0717

Other identifiers 2

IdentifierTypeStateIssuer
64319452MedicaidKY
0987357MedicaidOH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091022000073 KY Practitioner - Addiction MedicinePractitioner - Family Practice 3173660271 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Addiction MedicineAlso: Family Practice
Education
University of Kentucky College of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Summit Medical Group IncGroup PAC ID 2163326240, 803 clinicians

Practice addresses (Care Compare)

20 W 18TH St
Covington, KY 41011-3329
Phone (859) 757-0717

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.01 of 100Reported as apm
Quality
86.02
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
31945KYMDAddiction Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Isaiah House, Inc. CurrentSince Jun 1, 2024 Accepting new patients
Summit Medical Group, Inc Family Medicine CurrentSince Jan 1, 2010 Accepting new patients
Summit Medical Group, Inc. CurrentSince Jan 1, 2010 Accepting new patients
Real Health Primary Care LLC CurrentSince Jun 1, 2024 Accepting new patients
Cincinnati Health Care Group PSC Past Accepting new patients

Locations

79 Country Club Dr
Butler, KY 41006
Phone (859) 344-5481

100 Broadway
Ste 101
Chaplin, KY 40012

20 W 18th St
Covington, KY 41011
Phone (859) 757-0717

401 E 20th St
Covington, KY 41014
Phone (859) 283-6600

351 Centre View Blvd
Crestview Hills, KY 41017
Phone (859) 572-2000

340 Thomas More Pkwy
#160
Crestview Hills, KY 41017

975 Hustonville Rd
Ste 9
Danville, KY 40422
Phone (859) 209-2331

1980 Litton Ln
Hebron, KY 41048
Phone (859) 334-8700

300 Barnes Rd
Williamstown, KY 41097
Phone (859) 824-8217

238 Barnes Rd
Williamstown, KY 41097
Phone (859) 292-4000

2084 Main St
Willisburg, KY 40078

2042 Main St
Willisburg, KY 40078

Interoperability endpoints

  • Direct secure messaging: mkalfas5701@direct-prd.stelizabeth.com

Organizations & group practices 5

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": "1150156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700524800000",
    "number": "1508808361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 635283",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452635283",
            "telephone_number": "859-757-0717",
            "fax_number": "859-331-2425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 W 18TH ST",
            "city": "COVINGTON",
            "state": "KY",
            "postal_code": "410113329",
            "telephone_number": "859-757-0717",
            "fax_number": "859-331-2425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALFAS",
        "first_name": "MINA",
        "middle_name": "C",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-13",
        "last_updated": "2023-11-21",
        "certification_date": "2023-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "KY",
            "license": "31945",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "31945",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64319452",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0987357",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Covington, KY

Sources for this page

Verify at the official NPI Registry.