Active NPI
Jacob Kalo, M.D.
- Obstetrics Physician
- West Bloomfield, MI
National Provider Identifier
1659577351
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics Physician
- Legal business name
- JACOB KALO, M.D.
- Practice address
- 6765 Orchard Lake Rd
West Bloomfield, MI 48322-3422 - Phone
- (248) 932-1777
- Fax
- (248) 932-1888
- NPI assigned
- Jun 21, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jacob Kalo, M.D.
- Title
- Owner
- Phone
- (248) 932-1777
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | JK040053 | MI | |
| Obstetrics Physician | 207VX0000X | Primary |
Addresses
Primary practice location
6765 Orchard Lake Rd
West Bloomfield, MI 48322-3422
Mailing address
6765 Orchard Lake Rd
West Bloomfield, MI 48322-3422
Phone (248) 932-1777
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7630015 | Other | MI | BLUE CROSS PROVIDER ID |
National Provider Directory
National Provider Directory- Tax ID family
- Jacob Kalo MD
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Obstetrics Physician
- Sterling Heights, MI
- NPI 1972849842
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182384000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1667347200000",
"number": "1659577351",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6765 ORCHARD LAKE RD",
"city": "WEST BLOOMFIELD",
"state": "MI",
"postal_code": "483223422",
"telephone_number": "248-932-1777",
"fax_number": "248-932-1888"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6765 ORCHARD LAKE RD",
"city": "WEST BLOOMFIELD",
"state": "MI",
"postal_code": "483223422",
"telephone_number": "248-932-1777",
"fax_number": "248-932-1888"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JACOB KALO, M.D.",
"organizational_subpart": "NO",
"enumeration_date": "2007-06-21",
"last_updated": "2022-11-02",
"certification_date": "2022-11-02",
"status": "A",
"authorized_official_last_name": "KALO",
"authorized_official_first_name": "JACOB",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "248-932-1777",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "MI",
"license": "JK040053",
"primary": false
},
{
"code": "207VX0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology, Obstetrics",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS PROVIDER ID",
"identifier": "7630015",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in West Bloomfield, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.