John Nader Kalliel, MD

Primary specialty

SpecialistTaxonomy code 174400000X

License

7573 Issued in NH

Practice address

765 South Main Street
Suite 203
Manchester, NH 03102

Phone

(603) 668-6444

Fax

(603) 668-6762

NPI assigned

Nov 14, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Aug 26, 2025 through Aug 26, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1710059209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "765 SOUTH MAIN STREET",
            "address_2": "SUITE 203",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "03102",
            "telephone_number": "603-668-6444",
            "fax_number": "603-668-6762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "765 SOUTH MAIN STREET",
            "address_2": "SUITE 203",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "03102",
            "telephone_number": "603-668-6444",
            "fax_number": "603-668-6762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALLIEL",
        "first_name": "JOHN",
        "middle_name": "NADER",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NH",
            "license": "7573",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30010246",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Janelle Kaiser
• Melanie Rose Kalajian, PHARM D
• Gustave Tshamala Kalambay
• Allison Kalil, PA-C
• Nancy E. Kalinski, PA-C
• Emese Kalnoki-Kis, MD
• Kaly Spring Rescare LLC
• David G Kamen, PH.D.
• Shannon Kamieneski, BA
• Steven E Kammann, MD

• Specialist in Manchester, NH
• Providers in Manchester, NH by specialty
• Specialist in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.