Active NPI
Damian Kalisiewicz, M.D.
- Internal Medicine Physician
- Troy, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 1.060415
- Practice address
- 2891 E Maple Rd
Troy, MI 48083-6106 - Phone
- (248) 524-9085
- Fax
- (248) 524-9086
- NPI assigned
- Jun 12, 2015
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 1.060415 | CT | Primary |
| Internal Medicine Physician | 207R00000X | 4301107096 | MI |
Addresses
Primary practice location
2891 E Maple Rd
Troy, MI 48083-6106
Mailing address
2891 E Maple Rd Ste 102
Troy, MI 48083-6106
Phone (248) 524-9085
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT, MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2891 E Maple Rd
Suite 102
Troy, MI 48083-6103
Phone (248) 524-9085
Hospital & facility affiliations
- Beaumont Hospital Royal Oak
- Beaumont Hospital, Troy
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1.060415 | CT | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trinity Health of New England Provider Network Organization Inc | Internal Medicine | Current | Accepting new patients |
| Middlesex Hospital | Internal Medicine | Current | Accepting new patients |
| Middlesex Hospital | Current | Accepting new patients | |
| Trinity Health of New England Provider Network Organization Inc | Internal Medicine | Current | Accepting new patients |
| Metro Medical Practice PC | Internal Medicine | Current | Accepting new patients |
Locations
1300 Hall Blvd
Fl 3
Bloomfield, CT 06002
Phone (860) 714-2376
1000 Asylum Ave
Ste 4309B
Hartford, CT 06105
114 Woodland St
Hartford, CT 06105
Phone (860) 714-4001
28 Crescent St
Middletown, CT 06457
Phone (860) 358-6000
80 S Main St
Ste 102
Middletown, CT 06457
Phone (860) 358-6878
2891 E Maple Rd
Ste 102
Troy, MI 48083
Phone (248) 524-9085
Interoperability endpoints
- dkalisiewicz1133995@direct.hfhs.org
- dkalisiewicz64093@middlesexhealthprd.direct-ci.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.
-
- Internal Medicine Physician
- Troy, MI
- NPI 1427096064
-
- Internal Medicine Physician
- Hartford, CT
- NPI 1003882812
-
- Community Based Hospice Care Agency
- Middletown, CT
- NPI 1003873233
-
- Internal Medicine Physician
- Waterville, ME
- NPI 1134779531
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Troy, MI
- NPI 1306825997
-
- General Acute Care Hospital
- Royal Oak, MI
- NPI 1689653305
-
- General Acute Care Hospital
- Grosse Pointe, MI
- NPI 1932396017
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1434067200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788912000000",
"number": "1629459904",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2891 E MAPLE RD STE 102",
"city": "TROY",
"state": "MI",
"postal_code": "480836106",
"telephone_number": "248-524-9085",
"fax_number": "248-524-9086"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2891 E MAPLE RD",
"city": "TROY",
"state": "MI",
"postal_code": "480836106",
"telephone_number": "248-524-9085",
"fax_number": "248-524-9086"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KALISIEWICZ",
"first_name": "DAMIAN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-06-12",
"last_updated": "2026-09-09",
"certification_date": "2026-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CT",
"license": "1.060415",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MI",
"license": "4301107096",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Troy, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2026; 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.