Kevin Kaliszewski, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

5601003895 Issued in MI

Practice address

110 Beech St
Suite B
Tawas City, MI 48763-8314

Phone

(989) 362-1015

Fax

(989) 362-9862

NPI assigned

Oct 6, 2005

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kevin.kaliszewski.1@11016.direct.athenahealth.com

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.

• Mymichigan Medical Center Tawas

  • General Acute Care Hospital
  • Tawas City, MI
  • NPI 1194713461
  Medicare reassignment
• Mymichigan Medical Center Tawas

  • Family Medicine Physician
  • Tawas City, MI
  • NPI 1649555004
  NPD
• Mymichigan Medical Center Tawas

  • Rural Health Clinic/Center
  • Tawas City, MI
  • NPI 1952399743
  NPD
• Mymichigan Medical Center Tawas

  • Rural Health Clinic/Center
  • Au Gres, MI
  • NPI 1326036153
  NPD (past)

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

{
    "created_epoch": "1128556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617667200000",
    "number": "1760470488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 BEECH ST STE B",
            "city": "TAWAS CITY",
            "state": "MI",
            "postal_code": "487638314",
            "telephone_number": "989-362-9859",
            "fax_number": "989-362-9862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 BEECH ST",
            "address_2": "SUITE B",
            "city": "TAWAS CITY",
            "state": "MI",
            "postal_code": "487638314",
            "telephone_number": "989-362-1015",
            "fax_number": "989-362-9862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALISZEWSKI",
        "first_name": "KEVIN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-06",
        "last_updated": "2021-04-06",
        "certification_date": "2021-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601003895",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3370220",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kevinkaliszewski@smomsjhs.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "110 Beech St",
            "address_2": "Suite B",
            "city": "Tawas City",
            "state": "MI",
            "country_code": "US",
            "postal_code": "487638314",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Vincent Clifton Johnson, D.D.S.
• Jennifer L Jones, DO
• Kenneth A Jordan, MD
• Josip Petani MD PC
• Erica Ruth Kalbfleisch, FNP-BC
• Gordon Kalo, CRNA
• Laura Lynn Kauffman, LMSW
• Michael Jay Kayner, DC
• Taylor Laine Kinney
• Bradley Arthur Kloska, D.O.

• Physician Assistant in Tawas City, MI
• Providers in Tawas City, MI by specialty
• Physician Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.