Active NPI
Jared Allan Kalina, DO
- Interventional Pain Medicine Physician
- Forest Park, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Pain Medicine Physician
- License
- 036119113
- Practice address
- 334 Circle Ave
Forest Park, IL 60130-1610 - Phone
- (708) 628-8574
- Fax
- (866) 282-9069
- NPI assigned
- Aug 28, 2008
- Last updated
- Nov 11, 2020
- 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 |
|---|---|---|---|---|
| Interventional Pain Medicine Physician | 208VP0014X | 036119113 | IL | Primary |
Addresses
Primary practice location
334 Circle Ave
Forest Park, IL 60130-1610
Mailing address
625 S Oak Park Ave
Oak Park, IL 60304-1213
Phone (708) 628-8574
Other practice location 1
625 S Oak Park Ave
Oak Park, IL 60304-1213
Phone (773) 899-2261
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036119113 | Other | IL | PHYSICIAN LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pain Management
- Education
- University of Wisconsin School of Medicine, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
334 Circle Ave
Forest Park, IL 60130-1610
Phone (708) 628-8574
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Loretto Hospital | Interventional Pain Medicine | Current | Accepting new patients |
| Elmhurst Anesthesiologists, PC | Past | Accepting new patients | |
| Alpha Rehabilitation Medical Center LTD | Past | Accepting new patients |
Locations
645 S Central Ave
Chicago, IL 60644
Phone (773) 626-4300
Interoperability endpoints
- jared.kalina@loretto.medalliesdirect.net
- kalinajared@direct.meditouchehr.com
Organizations & group practices 4
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.
-
- Pain Medicine Physician
- Forest Park, IL
- NPI 1821486861
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1447280284
Interventional Pain Medicine
-
- Rehabilitation Chiropractor
- Berwyn, IL
- NPI 1538295332
-
- Anesthesiology Physician
- Elmhurst, IL
- NPI 1376586610
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1447280284
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1219881600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1605052800000",
"number": "1871741132",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "625 S OAK PARK AVE",
"city": "OAK PARK",
"state": "IL",
"postal_code": "603041213",
"telephone_number": "708-628-8574"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "334 CIRCLE AVE",
"city": "FOREST PARK",
"state": "IL",
"postal_code": "601301610",
"telephone_number": "708-628-8574",
"fax_number": "866-282-9069"
}
],
"practiceLocations": [
{
"address_1": "625 S Oak Park Ave",
"address_purpose": "LOCATION",
"city": "Oak Park",
"state": "IL",
"postal_code": "603041213",
"country_code": "US",
"telephone_number": "773-899-2261",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KALINA",
"first_name": "JARED",
"middle_name": "ALLAN",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-08-28",
"last_updated": "2020-11-11",
"certification_date": "2020-11-11",
"status": "A"
},
"taxonomies": [
{
"code": "208VP0014X",
"taxonomy_group": "",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": "IL",
"license": "036119113",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHYSICIAN LICENSE",
"identifier": "036119113",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Forest Park, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2020; 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.