Kristin Kalajian, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA743 Issued in ME

Practice address

195 Union Street
Rockport, ME 04856

Phone

(207) 236-2169

Fax

(207) 230-0413

NPI assigned

Aug 23, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in ME

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Camden Dermatology and Mohs Surgery LLCGroup PAC ID 9133481450, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Camden Dermatology & Mohs Surgery LLC

  • MOHS-Micrographic Surgery Physician
  • Rockport, ME
  • NPI 1215440011
  Medicare reassignment Care Compare group
• State of Maine

  dba Dorothea Dix Psychiatric Center

  • Psychiatric Hospital
  • Bangor, ME
  • NPI 1699776146
  Medicare reassignment
• State of Maine

  dba Riverview Psychiatric Hospital

  • Psychiatric Hospital
  • Augusta, ME
  • NPI 1053319566
  NPD
• Midcoast Medicine, PA

  • Family Medicine Physician
  • Rockport, ME
  • NPI 1346328242
  NPD (past)

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

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1255478400000",
    "number": "1851408454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "195 UNION STREET",
            "address_2": "PO BOX 1079",
            "city": "ROCKPORT",
            "state": "ME",
            "postal_code": "04856",
            "telephone_number": "207-236-2169",
            "fax_number": "207-230-0413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "195 UNION STREET",
            "city": "ROCKPORT",
            "state": "ME",
            "postal_code": "04856",
            "telephone_number": "207-236-2169",
            "fax_number": "207-230-0413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALAJIAN",
        "first_name": "KRISTIN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-23",
        "last_updated": "2009-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "ME",
            "license": "PA743",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "130430000",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tracy Lynn Jalbuena, MD
• Jennifer Batterman, PHD LLC
• Stephen Gilles Johndro
• Vanessa La-Ree Johnson
• Robert Charles Jorden, M.D.
• Kate Clement LCSW
• Charles F Kava, D.O.
• Galina Kazanikova, MD
• Norman Keller, PHYSICIAN ASSISTANT
• Deena Lufkin Kelley, PT, DPT

• Medical Physician Assistant in Rockport, ME
• Providers in Rockport, ME by specialty
• Medical Physician Assistant in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2009; 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.

Verify at the official NPI Registry.