Active NPI
Jamal Kalala, MD, PLLC
- Internal Medicine Physician
- Taylorsville, NC
National Provider Identifier
1861667412
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 35149
- Legal business name
- JAMAL KALALA, MD, PLLC
- Practice address
- 225 NC Highway 16 S
Taylorsville, NC 28681-3048 - Phone
- (828) 632-1234
- Fax
- (828) 632-8794
- NPI assigned
- Apr 24, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jamal M Kalala, M.D.
- Title
- Owner
- Phone
- (828) 632-1234
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 35149 | NC | Primary |
| Nephrology Physician | 207RN0300X | 35149 | NC |
Addresses
Primary practice location
225 NC Highway 16 S
Taylorsville, NC 28681-3048
Mailing address
225 NC Highway 16 S
Taylorsville, NC 28681-3048
Phone (828) 632-1234
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 12601 | Other | NC | BCBS |
| 8912601 | Medicaid | NC | |
| 2185408M | Other | MEDICARE PTAN |
National Provider Directory
National Provider DirectoryLocations
225 NC Highway 16 S
Taylorsville, NC 28681
Phone (828) 632-1234
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1208995200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1366934400000",
"number": "1861667412",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "225 NC HIGHWAY 16 S",
"city": "TAYLORSVILLE",
"state": "NC",
"postal_code": "286813048",
"telephone_number": "828-632-1234",
"fax_number": "828-632-8794"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "225 NC HIGHWAY 16 S",
"city": "TAYLORSVILLE",
"state": "NC",
"postal_code": "286813048",
"telephone_number": "828-632-1234",
"fax_number": "828-632-8794"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JAMAL KALALA, MD, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-04-24",
"last_updated": "2013-04-26",
"status": "A",
"authorized_official_last_name": "KALALA",
"authorized_official_first_name": "JAMAL",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "828-632-1234",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "NC",
"license": "35149",
"primary": true
},
{
"code": "207RN0300X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Nephrology",
"state": "NC",
"license": "35149",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "12601",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8912601",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "2185408M",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Taylorsville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.