Rachel E Kalter, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

40064 Issued in WI

Practice address

770 Indian Boundary Rd Ste 200
Chesterton, IN 46304-1519

Phone

(219) 872-6566

Fax

(219) 395-8077

NPI assigned

Aug 26, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

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.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

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.

• Ascension Medical Group-Southeast Wisconsin Inc

  • Internal Medicine Physician
  • Glendale, WI
  • NPI 1609881077

  Family Medicine, WI

  Medicare reassignment NPD
• Commonwealth Medical Group, LLC

  • Internal Medicine Physician
  • West Allis, WI
  • NPI 1477500361

  Family Medicine

  NPD (past)

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

{
    "created_epoch": "1125014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522368000000",
    "number": "1780677484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2025 W OKLAHOMA AVE",
            "address_2": "SUITE 124",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532154455",
            "telephone_number": "414-672-5250",
            "fax_number": "414-672-2290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "770 INDIAN BOUNDARY RD STE 200",
            "city": "CHESTERTON",
            "state": "IN",
            "postal_code": "463041519",
            "telephone_number": "219-872-6566",
            "fax_number": "219-395-8077"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2025 W Oklahoma Ave",
            "address_2": "Suite 124",
            "address_purpose": "LOCATION",
            "city": "Milwaukee",
            "state": "WI",
            "postal_code": "532154455",
            "country_code": "US",
            "telephone_number": "414-672-5250",
            "fax_number": "414-672-2290",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KALTER",
        "first_name": "RACHEL",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-26",
        "last_updated": "2018-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WI",
            "license": "40064",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Talal Jutayli, OTD
• Elisa Marie Kabelis, COTA
• Rebecca Kadowaki, OTR
• Katelyn Kalemba
• Steven Mark Kalisch, PH.D.
• Jennifer Kalvaitis, MA, LMHC
• Alexandrea Christine Karnick I, MS, LCACA
• J'Aime Elizabeth Kaufman, MCD, CCC-SLP
• Thomas H Kay, M.D.
• Beth Georgia Keehn

• Family Medicine Physician in Chesterton, IN
• Providers in Chesterton, IN by specialty
• Family Medicine Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2018; 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.