Dev Nathan Kalyan, M.D., J.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

AA12070 Issued in CA

Practice address

5411 Illinois Ave NW
Washington, DC 20011-3907

Phone

(646) 352-2689

NPI assigned

Jun 28, 2008

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

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

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Juris Doctor, Doctor of Medicine

State licenses

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

{
    "created_epoch": "1214611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468281600000",
    "number": "1871755066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5411 ILLINOIS AVE NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200113907",
            "telephone_number": "646-352-2689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5411 ILLINOIS AVE NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200113907",
            "telephone_number": "646-352-2689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALYAN",
        "first_name": "DEV",
        "middle_name": "NATHAN",
        "name_prefix": "Dr.",
        "credential": "M.D., J.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-28",
        "last_updated": "2016-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "PA",
            "license": "MT1932029",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "AA12070",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ifunanya Rosemary Kalu, MD
• Peter Kalu
• Priscilla Kalu
• Adamma Kaluibe
• Jessica Kaluzny, CCC-SLP
• Janaki Kalyanam, MD
• Jennifer Christine Kam, MD
• Mollie Kam, PT
• Mengistu Kama
• Reema Yousef Kamal

• Family Medicine Physician in Washington, DC
• Providers in Washington, DC by specialty
• Family Medicine Physician in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2016; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.