Chad David Kalil, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

3265 Issued in MN

Practice address

3777 Coon Rapids Boulevard
Suite 100
Coon Rapids, MN 55433

Phone

(763) 421-7420

Fax

(763) 421-0730

NPI assigned

Feb 24, 2007

Last updated

Jul 30, 2013By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MN

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

Specialty

Optometry

Education

Illinois College of Optometry at Chicago, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Edina Eye Physicians and Surgeons PAGroup PAC ID 1355382698, 22 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

85.52 of 100Reported as group

Quality

80.37

Promoting interoperability

96

Improvement activities

40

Cost

74.71

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Edina Eye Physicians and Surgeons PA

  dba Twin Cities Eye Consultants

  • Ophthalmology Physician
  • Waconia, MN
  • NPI 1538264981

  Optometrist

  Medicare reassignment Care Compare group NPD
• Edina Eye Physicians and Surgeons PA

  dba Twin Cities Eye Consultants

  • Ophthalmology Physician
  • Shakopee, MN
  • NPI 1740382274

  Optometrist

  NPD (past)

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

{
    "created_epoch": "1172275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375142400000",
    "number": "1588790729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3777 COON RAPIDS BOULEVARD",
            "address_2": "SUITE 100",
            "city": "COON RAPIDS",
            "state": "MN",
            "postal_code": "55433",
            "telephone_number": "763-421-7420",
            "fax_number": "763-421-0730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3777 COON RAPIDS BOULEVARD",
            "address_2": "SUITE 100",
            "city": "COON RAPIDS",
            "state": "MN",
            "postal_code": "55433",
            "telephone_number": "763-421-7420",
            "fax_number": "763-421-0730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALIL",
        "first_name": "CHAD",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-24",
        "last_updated": "2013-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "SD",
            "license": "614",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MN",
            "license": "3265",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9203470",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gretchen Lea Kafer, PSY.D.
• Kaizenridge Partners LLC (Kaizen Healthcare Services)
• Megan Lynn Kakela
• Matko Kalac, M.D., PH.D.
• David Christopher Kalb, M.D.
• Jennifer Kalpin, DDS
• Maliki Fofee Kamara
• Mawata Kamara
• Joan Alexandra Kane-Coleman
• Carol B Kaplan, LP

• Optometrist in Coon Rapids, MN
• Providers in Coon Rapids, MN by specialty
• Optometrist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2013; 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.

Verify at the official NPI Registry.