NPIMap

Individual provider Active NPI

Thomas D Kaelin Jr., DO

  • Pulmonary Disease Physician
  • N Charleston, SC
National Provider Identifier
1740280841
Registry record updated Oct 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
0495 Issued in SC
Practice address
9150 Medcom St. Ste B
N Charleston, SC 29406
Phone
(843) 871-4006
Fax
(843) 871-4074
NPI assigned
Jul 29, 2005
Last updated
Oct 28, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 495 SC
Sleep Medicine (Internal Medicine) Physician 207RS0012X 495 SC
Pulmonary Disease Physician 207RP1001X 0495 SC Primary

Addresses

Primary practice location

9150 Medcom St. Ste B
N Charleston, SC 29406

Mailing address

9150 Medcom St. Ste B
N Charleston, SC 29406
Phone (843) 871-4006

Other practice location 1

316 Calhoun St
Charleston, SC 29401-1113
Phone (843) 724-2450

Other identifiers 1

IdentifierTypeStateIssuer
004952MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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
I20040827000085 SC Practitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists)Practitioner - Sleep Medicine 5698749695 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists), Sleep Medicine
Education
University of New England, College of Osteo Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lowcountry Lung and Critical Care PAGroup PAC ID 8921173147, 8 clinicians
Summerville Sleep Consultants LLCGroup PAC ID 5799759791, 3 clinicians

Practice addresses (Care Compare)

9150 Medcom St
Suite B
N Charleston, SC 29406-9196
Phone (843) 572-3330

92 Springview LN
Summerville, SC 29485-8153
Phone (843) 871-4006

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
21.58 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
71.93

Merit-based Incentive Payment System (MIPS)

Final score
96.87 of 100Reported as group
Quality
100
Improvement activities
40
Cost
80.8

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0495SCMDPulmonary Disease Physician
495SCMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Lowcountry Lung & Critical Care PA CurrentSince Jul 1, 1998 Accepting new patients
Roper Hospital, Inc. Critical Care Medicine CurrentSince Oct 1, 2024 Accepting new patients
Roper Hospital, Inc. Current Accepting new patients
Roper Hospital Inc. CurrentSince Oct 1, 2024 Accepting new patients
South Carolina Sleep Medicine LLC Pulmonary Disease CurrentSince Jan 1, 2003 Accepting new patients
Bon Secours St Francis Xavier Hospital, Inc. Critical Care Medicine CurrentSince Feb 3, 2025 Accepting new patients
Summerville Sleep Consultants LLC CurrentSince May 5, 2003 Accepting new patients
Roper St Francis Hospital-Berkeley Inc. Critical Care Medicine CurrentSince Feb 3, 2025 Accepting new patients
Roper St Francis Hospital-Berkeley Inc. CurrentSince Feb 3, 2025 Accepting new patients
Roper St. Francis Mount Pleasant Hospital Critical Care Medicine CurrentSince Feb 3, 2025 Accepting new patients
Intensive Care Consortium Inc Critical Care Medicine CurrentSince Aug 6, 2018 Accepting new patients
Roper St. Francis Mount Pleasant Hospital Current Accepting new patients
Bon Secours St Francis Xavier Hospital, Inc. Current Accepting new patients
Bon Secours St. Francis Xavier Hospital, Inc. CurrentSince Feb 3, 2025 Accepting new patients
Trident Medical Center, LLC Past Accepting new patients

Locations

2095 Henry Tecklenburg Dr
Charleston, SC 29414
Phone (843) 402-1037

316 Calhoun St
Charleston, SC 29401
Phone (843) 724-2000

8536 Palmetto Commerce Pkwy
Ste 501
Ladson, SC 29456
Phone (843) 203-2260

3500 N Highway 17
Mt Pleasant, SC 29466
Phone (843) 606-7000

9150 Medcom St
Ste B
North Charleston, SC 29406
Phone (843) 572-3330

9330 Medical Plaza Dr
North Charleston, SC 29406
Phone (843) 554-6366

100 Callen Blvd
Summerville, SC 29486
Phone (845) 529-3165

300 Callen Blvd
Ste 240
Summerville, SC 29486
Phone (843) 285-2500

92 Springview Ln
Summerville, SC 29485
Phone (843) 871-4006

416 Robertson Blvd
Ste B
Walterboro, SC 29488
Phone (843) 549-2411

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: thomas.kaelin.p1@direct.llcc.nextgenshare.com
  • Direct secure messaging: thomas.kaelin.p1@direct.scsm.nextgenshare.com

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1122595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730073600000",
    "number": "1740280841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9150 MEDCOM ST. STE B",
            "city": "N CHARLESTON",
            "state": "SC",
            "postal_code": "29406",
            "telephone_number": "843-871-4006",
            "fax_number": "843-871-4074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9150 MEDCOM ST. STE B",
            "city": "N CHARLESTON",
            "state": "SC",
            "postal_code": "29406",
            "telephone_number": "843-871-4006",
            "fax_number": "843-871-4074"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "316 Calhoun St",
            "address_purpose": "LOCATION",
            "city": "Charleston",
            "state": "SC",
            "postal_code": "294011113",
            "country_code": "US",
            "telephone_number": "843-724-2450",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KAELIN",
        "first_name": "THOMAS",
        "middle_name": "D",
        "name_suffix": "Jr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-29",
        "last_updated": "2024-10-28",
        "certification_date": "2024-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "SC",
            "license": "495",
            "primary": false
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "SC",
            "license": "495",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "SC",
            "license": "0495",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004952",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in N Charleston, SC

Sources for this page

Verify at the official NPI Registry.