Active NPI
Aaron Michael Bacalia, PA-C
- Physician Assistant
- Kalamazoo, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 5601004843
- Practice address
- 6210 W Main St
Kalamazoo, MI 49009-8925 - Phone
- (269) 286-7030
- NPI assigned
- Sep 27, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 5601004843 | MI | Primary |
Addresses
Primary practice location
6210 W Main St
Kalamazoo, MI 49009-8925
Mailing address
601 John St # 42
Kalamazoo, MI 49007-5341
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5601004843 | Other | MI | PERMANENT ID NUMBER |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | direct@direct.bronsonhg.org | Direct | Bronson Healthcare Group |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070328000128 | MI | Practitioner - Physician Assistant | 3577667765 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Bronson Methodist Hospital
Practice addresses (Care Compare)
601 John St
Kalamazoo, MI 49007-5377
6210 W Main St
Kalamazoo, MI 49009-8925
Phone (269) 286-7030
6220 W Main St
Aec Clinic
Kalamazoo, MI 49009-8925
Phone (269) 276-4744
Hospital & facility affiliations
- Bronson at Home Healthcare Services
- Bronson Methodist Hospital
- Bronson Lakeview Hospital
- Borgess Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ascension Borgess Hospital | Current | Accepting new patients | |
| Bronson Methodist Hospital | Physician Assistant | Current | Accepting new patients |
| John S Kostin MD PC | Past | Accepting new patients |
Locations
601 John St
Kalamazoo, MI 49007
Phone (269) 341-7100
601 John St
Ste M-124
Kalamazoo, MI 49007
Phone (269) 341-7500
1521 Gull Rd
Kalamazoo, MI 49048
Phone (269) 226-5165
601 John St
#42
Kalamazoo, MI 49007
Phone (269) 341-7806
3025 Gull Rd
Kalamazoo, MI 49048
Phone (269) 343-1264
411 Naomi St
Plainwell, MI 49080
Phone (269) 685-0700
Interoperability endpoints
- direct@direct.bronsonhg.org
Organizations & group practices 6
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.
-
- Hospitalist Physician
- Kalamazoo, MI
- NPI 1417961137
MI, Physician Assistant
-
- Physician Assistant
- Kalamazoo, MI
- NPI 1013089820
-
- General Acute Care Hospital
- Kalamazoo, MI
- NPI 1831116441
-
- Diagnostic Radiology Physician
- Kalamazoo, MI
- NPI 1518753441
-
- Surgery Physician
- Kalamazoo, MI
- NPI 1932375789
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Battle Creek, MI
- NPI 1376524090
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159315200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1679443200000",
"number": "1790876894",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "601 JOHN ST # 42",
"city": "KALAMAZOO",
"state": "MI",
"postal_code": "490075341"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6210 W MAIN ST",
"city": "KALAMAZOO",
"state": "MI",
"postal_code": "490098925",
"telephone_number": "269-286-7030"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BACALIA",
"first_name": "AARON",
"middle_name": "MICHAEL",
"name_prefix": "Mr.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-27",
"last_updated": "2023-03-22",
"certification_date": "2023-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MI",
"license": "5601004843",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PERMANENT ID NUMBER",
"identifier": "5601004843",
"state": "MI"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "direct@direct.bronsonhg.org",
"affiliation": "Y",
"endpointDescription": "Bronson Healthcare Group Direct address",
"affiliationName": "Bronson Healthcare Group",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Continuity of Care Document",
"address_1": "601 John St",
"city": "Kalamazoo",
"state": "MI",
"country_code": "US",
"postal_code": "490075341",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Mar 22, 2023; 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.