Robert L Kalez, MD PC

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

MD06014 Issued in OR

Practice address

24900 SE Stark St Ste 208
Gresham, OR 97030-3382

Phone

(503) 666-3030

Fax

(503) 666-3434

NPI assigned

Feb 21, 2006

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1140480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1257120000000",
    "number": "1891760252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24900 SE STARK #208",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "97030",
            "telephone_number": "503-666-3030",
            "fax_number": "503-666-3434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24900 SE STARK ST STE 208",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970303382",
            "telephone_number": "503-666-3030",
            "fax_number": "503-666-3434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALEZ",
        "first_name": "ROBERT",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "MD PC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-21",
        "last_updated": "2009-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "OR",
            "license": "MD06014",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103069",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rahila Juya
• Tyler Kaady, RDH
• Aaron L Kabb, M.D.
• Selam Kahassay
• Kaiser Foundation Health Plan of the Northwest
• Kelly Jayne Kalk, D.C.
• Megan Kallas, L.M.T.
• Daniel Ken Kamada, PMHNP
• Pamela Kandt, HYGIENIST
• Kanewood Residential LLC

• Urology Physician in Gresham, OR
• Providers in Gresham, OR by specialty
• Urology Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.