Active NPI
James Peter Caralis, D.O.
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Pontiac, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- License
- 5101007741
- Practice address
- 44555 Woodward Ave
Suite 307
Pontiac, MI 48341-5031 - Phone
- (248) 858-3939
- Fax
- (248) 858-3844
- NPI assigned
- Jul 25, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | 5101007741 | MI | Primary |
Addresses
Primary practice location
44555 Woodward Ave
Suite 307
Pontiac, MI 48341-5031
Mailing address
44555 Woodward Ave
Suite 307
Pontiac, MI 48341-5031
Phone (248) 858-3939
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4190333 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- 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
- Cardiac Surgery
- Education
- Midwestern University, Chicago College of Osteopathic Med, 1979
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
48801 Romeo Plank Rd
Suite 103
Macomb, MI 48044-2165
Phone (586) 726-4823
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Varicose vein removal | 23 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5101007741 | MI | MD | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Silver Pine Medical Group PLC | Current | Accepting new patients | |
| Bayside Family Medicine Chesterfield PC | Past | Accepting new patients | |
| Michigan Vascular Institute PLLC | Past | Accepting new patients |
Locations
31225 23 Mile Rd
Chesterfield, MI 48047
Phone (586) 598-2900
36555 26 Mile Rd
Ste 2500
Lenox, MI 48048
48801 Romeo Plank Rd
Ste 103
Macomb, MI 48044
15959 Hall Rd
Ste 110
Macomb, MI 48044
13860 Canal Rd
Sterling Heights, MI 48313
Phone (248) 254-8900
43455 Schoenherr Rd
Ste 2
Sterling Hts, MI 48313
Phone (586) 884-2712
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/EIGBDA
Organizations & group practices 3
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.
-
- Family Medicine Physician
- Sterling Heights, MI
- NPI 1639105695
-
- Family Medicine Physician
- Chesterfield, MI
- NPI 1790018315
-
- Vascular Surgery Physician
- Birmingham, MI
- NPI 1093915910
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153785600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1902829930",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "44555 WOODWARD AVE",
"address_2": "SUITE 307",
"city": "PONTIAC",
"state": "MI",
"postal_code": "483415031",
"telephone_number": "248-858-3939",
"fax_number": "248-858-3844"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "44555 WOODWARD AVE",
"address_2": "SUITE 307",
"city": "PONTIAC",
"state": "MI",
"postal_code": "483415031",
"telephone_number": "248-858-3939",
"fax_number": "248-858-3844"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARALIS",
"first_name": "JAMES",
"middle_name": "PETER",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-25",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208G00000X",
"taxonomy_group": "",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": "MI",
"license": "5101007741",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4190333",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pontiac, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.