Active NPI
Jill Kalcich, M.D.
- Family Medicine Physician
- Calumet, MI
National Provider Identifier
1801808365
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 4301085014
- Practice address
- 207 5TH St
Calumet, MI 49913-1603 - Phone
- (906) 370-2248
- NPI assigned
- Aug 13, 2006
- Last updated
- Sep 30, 2008
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 4301085014 | MI | Primary |
Addresses
Primary practice location
207 5TH St
Calumet, MI 49913-1603
Mailing address
207 5TH St
Calumet, MI 49913-1603
Phone (906) 370-2248
Medicare participation
Medicare enrollment files- 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
- Opted out of Medicare
- Yes, effective May 25, 2022 through May 25, 2028
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Wayne State University School of Medicine, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Aspirus Keweenaw
Practice addresses (Care Compare)
205 Osceola St
Laurium, MI 49913-2134
Phone (906) 337-3100
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Aspirus Ontonagon Clinic
- Rural Health Clinic/Center
- Ontonagon, MI
- NPI 1023161932
Hospital
-
dba UP Health System Portage
- General Acute Care Hospital
- Hancock, MI
- NPI 1245667229
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155427200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1222732800000",
"number": "1801808365",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "207 5TH ST",
"city": "CALUMET",
"state": "MI",
"postal_code": "499131603",
"telephone_number": "906-370-2248"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "207 5TH ST",
"city": "CALUMET",
"state": "MI",
"postal_code": "499131603",
"telephone_number": "906-370-2248"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KALCICH",
"first_name": "JILL",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-13",
"last_updated": "2008-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MI",
"license": "4301085014",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Calumet, MI
- Brigid Eilleen Havens, LPC
- Kelly Heikkinen
- Jill Marie Hrabinsky, PT
- Jennifer Lynn Huls, NP-C
- Andrew R Kalcich, LLMSW
- Charles Kemppainen, LMT
- Kelly L Kesti, O.D.
- Keweenaw Holistic Family Medicine, PC
- Keweenaw Home Nursing, Inc. (Keweenaw Home Nursing & Hospice)
- Keweenaw Home Nursing, Inc. (Keweenaw Home Nursing & Hospice)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2008; 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.
- 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.