Kerry M Kallas, M.D.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

40558 Issued in MN

Practice address

166 19TH Street South
Suite 100
Sartell, MN 56377-2154

Phone

(320) 251-0609

Fax

(320) 251-3806

NPI assigned

Mar 1, 2006

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 MN

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

Diagnostic Radiology

Education

University of Minnesota Medical School, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Medical Scanning Consultants PAGroup PAC ID 9032005376, 82 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Alomere Health Hospital, Alexandria, MN, CCN 240030

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

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 and National Provider Directory roles.

• Medical Scanning Consultants PA

  • Diagnostic Radiology Physician
  • St Louis Park, MN
  • NPI 1659348092
  Medicare reassignment Care Compare group NPD
• Cdi Twin Cities ASC LLC

  • Ambulatory Surgical Clinic/Center
  • St Louis Park, MN
  • NPI 1245207687
  NPD
• Medical Scanning Consultants PA

  • Diagnostic Radiology Physician
  • Federal Way, WA
  • NPI 1730156175
  NPD
• Consulting Radiologists, LTD

  • Diagnostic Radiology Physician
  • Eden Prairie, MN
  • NPI 1487730594
  NPD (past)
• Consulting Radiologists, LTD

  • Diagnostic Radiology Physician
  • Edina, MN
  • NPI 1659339216
  NPD (past)
• Noran Neurological Clinic P.a.

  • Specialist
  • Bloomington, MN
  • NPI 1710098306
  NPD (past)
• Medical Scanning Consultants PA

  • Diagnostic Radiology Physician
  • Winter Park, FL
  • NPI 1871560201
  NPD (past)
• Quest Diagnostics LLC Il

  • Clinical Medical Laboratory
  • Chicago, IL
  • NPI 1669298055
  NPD (past)

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

• Alomere Health

  • General Acute Care Hospital
  • Alexandria, MN
  • NPI 1558236091
  Care Compare affiliation

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

{
    "created_epoch": "1141171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329264000000",
    "number": "1881661668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1450 NW 6035",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554856035",
            "telephone_number": "952-542-8553",
            "fax_number": "952-513-6857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "166 19TH STREET SOUTH",
            "address_2": "SUITE 100",
            "city": "SARTELL",
            "state": "MN",
            "postal_code": "563772154",
            "telephone_number": "320-251-0609",
            "fax_number": "320-251-3806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALLAS",
        "first_name": "KERRY",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-01",
        "last_updated": "2012-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MN",
            "license": "40558",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "979669000",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michelle Lynn Kaiser, M.S., LPCC
• Sara Elizabeth Kalis
• Samantha Kalkbrenner
• Imo I Kalla, NP
• Rebecca Kalla
• Wilbur Wayne Kalstrom, RPH
• Brian Peter Kampa, PT
• Michael Kampa, A.T.R.
• Madelyn Angel Kapaun
• Alayna Marianna Karas

• Diagnostic Radiology Physician in Sartell, MN
• Providers in Sartell, MN by specialty
• Diagnostic Radiology Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2012; 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.