Individual provider Active NPI

James Peter Caralis, D.O.

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Pontiac, MI
National Provider Identifier
1902829930
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
5101007741 Issued in MI
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

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
4190333MedicaidMI

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070404000391 MI Practitioner - Cardiac SurgeryPractitioner - Thoracic SurgeryPractitioner - Vascular Surgery 3678677481 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiac SurgeryAlso: Thoracic Surgery
Education
Midwestern University, Chicago College of Osteopathic Med, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Silver Pine Medical Group PLCGroup PAC ID 8325020332, 39 clinicians

Practice addresses (Care Compare)

48801 Romeo Plank Rd
Suite 103
Macomb, MI 48044-2165
Phone (586) 726-4823

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal23

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5101007741MIMDThoracic Surgery (Cardiothoracic Vascular Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Silver Pine Medical Group PLC CurrentSince Oct 24, 2015 Accepting new patients
Bayside Family Medicine Chesterfield PC PastSince Oct 6, 2009 Accepting new patients
Michigan Vascular Institute PLLC PastSince Aug 1, 2007 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

  • FHIR API: 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.

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

Verify at the official NPI Registry.