NPIMap

Individual provider Active NPI

William David Kalichman, M.D.

  • Internal Medicine Physician
  • Richland, WA
National Provider Identifier
1679676258
Registry record updated Jun 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD00046273 Issued in WA
Practice address
560 Gage Blvd Ste 101
Kadlec Clinic South Richland Primary Care
Richland, WA 99352-9531
Phone
(509) 628-2843
Fax
(509) 628-3843
NPI assigned
Sep 7, 2006
Sex
Male
Sole proprietor
No

Organizations & group practices 7

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 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Rutgers R W Johnson Medical School (Cam/New Bruns/Pisc), 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Select Outpatient Services Inc 750 clinicians
Select Rehabilitation, LLC 1,935 clinicians
Kadlec Regional Medical Center 402 clinicians

Practice addresses (Care Compare)

2600 Compass Rd
Glenview, IL 60026-8001

560 Gage Blvd
Suite 101And206
Richland, WA 99352-8650
Phone (509) 942-3286

Hospital & facility affiliations

  • Tri-Cities Home Health Home health agency, Kennewick, WA, CCN 507010
  • Columbia River Home Health Home health agency, Kennewick, WA, CCN 507061
  • Kadlec Regional Medical Center Hospital, Richland, WA, CCN 500058
  • Richland Post Acute Nursing home, Richland, WA, CCN 505514

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061107000165 WA Practitioner - Internal Medicine 1759396419 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD00046273WAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kadlec Regional Medical Center CurrentSince May 1, 2014 Accepting new patients
Richland SNF Healthcare LLC Past Accepting new patients
Care Center (Richland) Inc. Past Accepting new patients

Locations

888 Swift Blvd
Richland, WA 99352
Phone (509) 942-2115

560 Gage Blvd
Ste 101206
Richland, WA 99352
Phone (509) 942-3286

1135 Jadwin Ave
Richland, WA 99352
Phone (509) 942-3300

Interoperability endpoints

  • Direct secure messaging: wkalichman1107530@wm.providencedirect.org

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD00046273 WA Primary

Addresses

NPPES NPI Registry

Primary practice location

560 Gage Blvd Ste 101
Kadlec Clinic South Richland Primary Care
Richland, WA 99352-9531

Mailing address

3900 S Zintel Way
Kennewick, WA 99337-5092
Phone (509) 942-3627

Electronic endpoints 1

NPPES NPI Registry
TypeEndpointUseAffiliation
Direct Messaging Address wkalichman1107530@wm.providencedirect.org Direct

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 15, 2021.

{
    "created_epoch": "1157587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623715200000",
    "number": "1679676258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3900 S ZINTEL WAY",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993375092",
            "telephone_number": "509-942-3627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "560 GAGE BLVD STE 101",
            "address_2": "KADLEC CLINIC SOUTH RICHLAND PRIMARY CARE",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993529531",
            "telephone_number": "509-628-2843",
            "fax_number": "509-628-3843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALICHMAN",
        "first_name": "WILLIAM",
        "middle_name": "DAVID",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-07",
        "last_updated": "2021-06-15",
        "certification_date": "2021-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WA",
            "license": "MD00046273",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "wkalichman1107530@wm.providencedirect.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "560 Gage Blvd Ste 101",
            "address_2": "Kadlec Clinic South Richland Primary Care",
            "city": "Richland",
            "state": "WA",
            "country_code": "US",
            "postal_code": "993529531",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Richland, WA

Sources for this page

Verify at the official NPI Registry.