Individual provider Active NPI

Kathryn M Lee-Kalsch, M.D.

  • Family Medicine Physician
  • Mount Vernon, IN
National Provider Identifier
1881008340
Registry record updated Jul 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
01078625A Issued in IN
Practice address
1900 W 4TH St
Mount Vernon, IN 47620-9407
Phone
(812) 838-4891
Fax
(812) 838-6595
NPI assigned
Jun 12, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 28, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 01078625A IN Primary

Addresses

Primary practice location

1900 W 4TH St
Mount Vernon, IN 47620-9407

Mailing address

P. O. Box 717
Mount Vernon, IN 47620-0717
Phone (812) 838-4891

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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

Enrollment IDStateProvider typePAC IDDetails
I20170829002584 IN Practitioner - Family Practice 5092931329 Practice locations: Mt Vernon, IN

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Indiana University School of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1900 W 4TH St
PO Box 717
Mt Vernon, IN 47620-9407
Phone (812) 838-4891

Hospital & facility affiliations

  • Horizons Home Care Inc Home health agency, Evansville, IN, CCN 157664
  • Deaconess Home Health, LLC Home health agency, Evansville, IN, CCN 157565
  • Enhabit Home Health Home health agency, Evansville, IN, CCN 157529
  • Charles Ford Hospice in Harmony Hospice, New Harmony, IN, CCN 151665
  • Gentiva I Hospice, Evansville, IN, CCN 151558
  • Deaconess Hospital Inc Hospital, Evansville, IN, CCN 150082
  • Ferrell Hospital Community Foundations Hospital, Eldorado, IL, CCN 141324
  • Mount Vernon Nursing and Rehabilitation Nursing home, Mount Vernon, IN, CCN 155342
  • New Harmony Health Care Center Nursing home, New Harmony, IN, CCN 155370

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions14
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
01078625AINMDFamily Medicine Physician

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Mount Vernon Nursing and RehabilitationMount Vernon, IN, CCN 155342 Skilled nursing facility Contracted Managing Employee Nov 15, 2018

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Hospital & facility affiliations 15

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1402531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1501200000000",
    "number": "1881008340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P. O. BOX 717",
            "city": "MOUNT VERNON",
            "state": "IN",
            "postal_code": "476200717",
            "telephone_number": "812-838-4891",
            "fax_number": "812-838-6595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 W 4TH ST",
            "city": "MOUNT VERNON",
            "state": "IN",
            "postal_code": "476209407",
            "telephone_number": "812-838-4891",
            "fax_number": "812-838-6595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE-KALSCH",
        "first_name": "KATHRYN",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-06-12",
        "last_updated": "2017-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01078625A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Vernon, IN

Sources for this page

Verify at the official NPI Registry.