Kutaiba S Chaleby, MD

Primary specialty

Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X

License

MD044739L Issued in PA

Practice address

5300 Kidspeace Dr
Orefield, PA 18069-2044

Phone

(610) 799-8477

NPI assigned

Nov 23, 2005

Last updated

Jul 21, 2022By the provider in NPPES

Sex

Male

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 PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Psychiatry

Education

Other, 1970

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

CompassionatecarellcGroup PAC ID 0749727469, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Compassionatecarellc

  • Mental Health Counselor
  • Bally, PA
  • NPI 1194339648

  Family Medicine

  Medicare reassignment Care Compare group NPD
• Centralized Comprehensive Human Services, Inc.

  dba John F Kennedy Community MH MR Center

  • Community/Behavioral Health Agency
  • Philadelphia, PA
  • NPI 1942359120
  NPD

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

{
    "created_epoch": "1132704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1871576736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4085 INDEPENDENCE DR",
            "city": "SCHNECKSVILLE",
            "state": "PA",
            "postal_code": "180782574",
            "telephone_number": "610-799-8853",
            "fax_number": "610-799-8001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5300 KIDSPEACE DR",
            "city": "OREFIELD",
            "state": "PA",
            "postal_code": "180692044",
            "telephone_number": "610-799-8477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHALEBY",
        "first_name": "KUTAIBA",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-23",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "PA",
            "license": "MD044739L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001687369-0005",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Madinah Aaliyah Campbell
• Carbon Lehigh Intermediate Unit #21
• Carbon Lehigh Intermediate Unit #21
• Jessica Carvalho
• CB Pediatric Physical Therapy Services, LLC
• Kathleen Noelle Childs, PSYD
• Craig R Christine, DO
• Andrew Ryan Clark, M.D.
• Margaret Ann Clark, M.S. CCC, SLP
• Samuel Claudio Jr., RN

• Child & Adolescent Psychiatry Physician in Orefield, PA
• Providers in Orefield, PA by specialty
• Child & Adolescent Psychiatry Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.