Affiliated Knee Pain Specialists, PLLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

AFFILIATED KNEE PAIN SPECIALISTS, PLLC

Doing business as

Nu Life Medical

Practice address

45445 Mound Rd Ste 105
Shelby Township, MI 48317-5178

Phone

(866) 207-5105

Fax

(248) 282-1313

NPI assigned

Jul 7, 2020

Last updated

Jan 24, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Steve Kallabat, MDNPI 1245291475

Title

Owner

Phone

(248) 939-3777

Specialties & licenses 3

Addresses

Other names 1

• Nu Life Medical Doing business as

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Affiliated Knee Pain Specialists, PLLC

  dba Nu Life Medical

  • Internal Medicine Physician
  • Beverly Hills, MI
  • NPI 1699262006

  4587919055

  Same PAC ID

Tax ID family

Affiliated Knee Pain PLLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Affiliated Knee Pain Specialists, PLLC

  dba Nu Life Medical

  • Internal Medicine Physician
  • Beverly Hills, MI
  • NPI 1699262006
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Steve Z Kallabat, MD

  • Internal Medicine Physician
  • Bloomfield Hills, MI
  • NPI 1245291475
  NPD (past) Authorized official

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

{
    "created_epoch": "1594080000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674518400000",
    "number": "1831717842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45445 MOUND RD STE 105",
            "city": "SHELBY TOWNSHIP",
            "state": "MI",
            "postal_code": "483175178",
            "telephone_number": "866-207-5105",
            "fax_number": "248-282-1313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45445 MOUND RD STE 105",
            "city": "SHELBY TOWNSHIP",
            "state": "MI",
            "postal_code": "483175178",
            "telephone_number": "866-207-5105",
            "fax_number": "248-282-1313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFFILIATED KNEE PAIN SPECIALISTS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-07",
        "last_updated": "2023-01-24",
        "certification_date": "2023-01-24",
        "status": "A",
        "authorized_official_last_name": "KALLABAT",
        "authorized_official_first_name": "STEVE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-939-3777",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nu Life Medical",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Nu Life Medical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Internal Medicine Physician in Shelby Township, MI
• Providers in Shelby Township, MI by specialty
• Internal Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.