Active NPI
Neelkamal Soares, M.D.
- Developmental - Behavioral Pediatrics Physician
- Kalamazoo, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmental - Behavioral Pediatrics Physician
- License
- 4301111270
- Practice address
- 1000 Oakland Dr
Kalamazoo, MI 49008-1282 - Phone
- (269) 337-6430
- NPI assigned
- Mar 31, 2006
- 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 |
|---|---|---|---|---|
| Developmental - Behavioral Pediatrics Physician | 2080P0006X | MD449769 | PA | |
| Developmental - Behavioral Pediatrics Physician | 2080P0006X | 4301111270 | MI | Primary |
Addresses
Primary practice location
1000 Oakland Dr
Kalamazoo, MI 49008-1282
Mailing address
1000 Oakland Dr
Kalamazoo, MI 49008-1282
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI, OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20161222001341 | MI | Practitioner - Pediatric Medicine | 6800848250 | Reassigns benefits to 4 organizations |
| I20240926003471 | OH | Practitioner - Pediatric Medicine | 6800848250 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Pediatric Medicine
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Kalamazoo County Community Mental Health Authority
Practice addresses (Care Compare)
615 E Crosstown Pkwy
Kalamazoo, MI 49001-2501
Phone (269) 373-6000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD449769 | PA | MD | Developmental - Behavioral Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DLP Marquette Physician Practices Inc | Current | Accepting new patients | |
| Kalamazoo County Community Mental Health Authority | Current | Accepting new patients | |
| Kalamazoo County Community Mental Health Authority | Current | Accepting new patients | |
| Henry Ford Health System | Current | Accepting new patients | |
| DLP Marquette Physician Practices Inc | Current | Accepting new patients | |
| Henry Ford Health System | Current | Accepting new patients | |
| University Hospitals Medical Group Inc | Current | Accepting new patients | |
| Western Michigan University School of Medicine | Current | Accepting new patients | |
| Henry Ford Health System | Developmental - Behavioral Pediatrics | Current | Accepting new patients |
| Crab Orchard Family Practice Clinic | Past | Accepting new patients | |
| Michigan State University Kalamazoo Center for Medical Studies | Past | Accepting new patients |
Locations
2799 W Grand Blvd
Detroit, MI 48202
Phone (313) 876-2062
9100 Brombach St
Hamtramck, MI 48212
Phone (313) 972-9000
418 W Kalamazoo Ave
Kalamazoo, MI 49007
Phone (269) 373-6000
2030 Portage St
Kalamazoo, MI 49001
Phone (269) 553-7132
1000 Oakland Dr
Kalamazoo, MI 49008
Phone (269) 337-4347
615 E Crosstown Pkwy
Kalamazoo, MI 49001
Phone (269) 373-6000
850 W Baraga Ave
Marquette, MI 49855
Phone (906) 225-3595
1414 W Fair Ave
Ste 36
Marquette, MI 49855
Phone (906) 225-3864
850 W Baraga Ave
Ste 31
Marquette, MI 49855
Phone (906) 449-3600
8055 Mayfield Rd
Ste 105
Chesterland, OH 44026
Phone (440) 214-8024
11100 Euclid Ave
Cleveland Heights, OH 44106
Interoperability endpoints
- neelkamal.soares.1@27502.direct.athenahealth.com
- neelkamal.soares.1@8233.direct.athenahealth.com
- nsoares611900@ehrdirect.uhhospitals.org
- nsoares1170739@direct.hfhs.org
Organizations & group practices 11
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Kalamazoo, MI
- NPI 1710066253
MI
-
- Obesity Medicine (Internal Medicine) Physician
- Marquette, MI
- NPI 1487902995
MI
-
- Multi-Specialty Clinic/Center
- Kalamazoo, MI
- NPI 1316212343
MI
-
- Multi-Specialty Clinic/Center
- Cleveland, OH
- NPI 1669499414
OH
-
- Rural Health Clinic/Center
- Marquette, MI
- NPI 1205635760
-
- Pediatrics Physician
- Detroit, MI
- NPI 1003990318
Developmental - Behavioral Pediatrics
-
- Community/Retail Pharmacy
- Plymouth, MI
- NPI 1942931720
-
- Community/Behavioral Health Agency
- Kalamazoo, MI
- NPI 1477225506
-
- Multi-Specialty Clinic/Center
- Kalamazoo, MI
- NPI 1568467249
-
- Family Medicine Physician
- Crab Orchard, KY
- NPI 1801848460
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143763200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1481155200000",
"number": "1699736256",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 OAKLAND DR",
"city": "KALAMAZOO",
"state": "MI",
"postal_code": "490081282"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 OAKLAND DR",
"city": "KALAMAZOO",
"state": "MI",
"postal_code": "490081282",
"telephone_number": "269-337-6430"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOARES",
"first_name": "NEELKAMAL",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-31",
"last_updated": "2016-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0006X",
"taxonomy_group": "",
"desc": "Pediatrics, Developmental - Behavioral Pediatrics",
"state": "PA",
"license": "MD449769",
"primary": false
},
{
"code": "2080P0006X",
"taxonomy_group": "",
"desc": "Pediatrics, Developmental - Behavioral Pediatrics",
"state": "MI",
"license": "4301111270",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kalamazoo, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2016; 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.