Active NPI
Kurt A Haller, MD
- Ophthalmology Physician
- Kalamazoo, MI
National Provider Identifier
1851340145
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 4301407101
- Practice address
- 1052 Gull Rd
Kalamazoo, MI 49048-1734 - Phone
- (269) 343-1684
- Fax
- (269) 343-5375
- NPI assigned
- May 6, 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 |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 4301407101 | MI | Primary |
Addresses
Primary practice location
1052 Gull Rd
Kalamazoo, MI 49048-1734
Mailing address
1052 Gull Rd
Kalamazoo, MI 49048-1734
Phone (269) 343-1684
Other identifiers 9
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 135840000 | Other | MI | DEPARTMENT OF LABOR |
| 180035058 | Other | MI | RAILROAD MEDICARE |
| 180C911240 | Other | MI | BCBSM |
| 4302174 | Other | MI | AETNA |
| 0830591 | Other | MI | IBA/PHP |
| 119351 | Other | MI | GREAT LAKES HEALTH PLAN |
| 3373034 | Medicaid | MI | |
| 3833092991335 | Other | MI | COMMUNITY CHOICE |
| 383309299006 | Other | MI | TRICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301407101 | MI | MD | Ophthalmology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146873600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1211155200000",
"number": "1851340145",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1052 GULL RD",
"city": "KALAMAZOO",
"state": "MI",
"postal_code": "490481734",
"telephone_number": "269-343-1684",
"fax_number": "269-343-5375"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1052 GULL RD",
"city": "KALAMAZOO",
"state": "MI",
"postal_code": "490481734",
"telephone_number": "269-343-1684",
"fax_number": "269-343-5375"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HALLER",
"first_name": "KURT",
"middle_name": "A",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-06",
"last_updated": "2008-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "MI",
"license": "4301407101",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DEPARTMENT OF LABOR",
"identifier": "135840000",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "180035058",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSM",
"identifier": "180C911240",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4302174",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IBA/PHP",
"identifier": "0830591",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GREAT LAKES HEALTH PLAN",
"identifier": "119351",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3373034",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMMUNITY CHOICE",
"identifier": "3833092991335",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "383309299006",
"state": "MI"
}
],
"endpoints": [],
"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 May 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.