Individual provider Active NPI

Allan L Kalmus, D.P.M

  • Foot Surgery Podiatrist
  • Taylor, MI
National Provider Identifier
1659360212
Registry record updated Dec 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
590001083 Issued in MI
Practice address
22908 Wick Rd
Suite C
Taylor, MI 48180-3589
Phone
(734) 287-2500
Fax
(734) 287-2606
NPI assigned
Oct 17, 2005
Last updated
Dec 23, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 23, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery Podiatrist 213ES0131X 590001083 MI Primary

Addresses

Primary practice location

22908 Wick Rd
Suite C
Taylor, MI 48180-3589

Mailing address

22908 Wick Rd
Suite C
Taylor, MI 48180-3589
Phone (734) 287-2500

Other identifiers 8

IdentifierTypeStateIssuer
48-58201410OtherMIBCBSM
48-58218290OtherMIBCBSM
4885977MedicaidMI
0H24108OtherMIBCBSM
P00643851OtherMIRAILROAD MEDICARE
0B51113OtherMIBCBSM
1791652MedicaidMI
1831348416MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20060420000512 MI Practitioner - Podiatry 0345259206 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
William M. Scholl College of Podiatric Medicine, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alzohaili Medical Consultants MD PCGroup PAC ID 4981516564, 18 clinicians

Practice addresses (Care Compare)

5220 Oakman Blvd
Dearborn, MI 48126-3318
Phone (313) 203-5300

5250 Auto Club Dr
Dearborn, MI 48126-4212

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue37
Removal of skin lesions1-10
Removal of nail tissue189
Removal or shaving of skin growth32
Skin biopsy11

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
590001083MIMDFoot Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Alzohaili Medical Consultants MD PC CurrentSince Apr 1, 2021 Accepting new patients
Jeffrey Danto DPM Podiatrist Past Accepting new patients
Associated Foot Clinic of Lake Orion, P.C. Podiatrist Past Accepting new patients
Associated Foot Clinic of Fenton, P.C. Podiatrist Past Accepting new patients

Locations

1331 Monroe St
Dearborn, MI 48124
Phone (313) 724-4810

22720 Michigan Ave
Ste 200
Dearborn, MI 48124
Phone (313) 791-3000

5220 Oakman Blvd
Dearborn, MI 48126
Phone (313) 203-5300

5250 Auto Club Dr
Ste 200
Dearborn, MI 48126
Phone (313) 203-5300

4160 John R St
Ste 510
Detroit, MI 48201
Phone (313) 993-7777

27207 Lahser Rd
Ste 2008
Southfield, MI 48034

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1129507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1419292800000",
    "number": "1659360212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22908 WICK RD",
            "address_2": "SUITE C",
            "city": "TAYLOR",
            "state": "MI",
            "postal_code": "481803589",
            "telephone_number": "734-287-2500",
            "fax_number": "734-287-2606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22908 WICK RD",
            "address_2": "SUITE C",
            "city": "TAYLOR",
            "state": "MI",
            "postal_code": "481803589",
            "telephone_number": "734-287-2500",
            "fax_number": "734-287-2606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALMUS",
        "first_name": "ALLAN",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "D.P.M",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-17",
        "last_updated": "2014-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "MI",
            "license": "590001083",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "48-58201410",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "48-58218290",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4885977",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "0H24108",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00643851",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "0B51113",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1791652",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1831348416",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Taylor, MI

Sources for this page

Verify at the official NPI Registry.