Individual provider Active NPI

Jason Christopher Kalan, M.D.

  • Pediatrics Physician
  • Colorado Springs, CO
National Provider Identifier
1932225356
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
43123 Issued in CO
Practice address
6190 Barnes Rd
Colorado Springs, CO 80922-2600
Phone
(719) 596-4502
Fax
(719) 598-8020
NPI assigned
Mar 21, 2007
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 9475A WY
Pediatrics Physician 208000000X 43123 CO Primary
Hospitalist Physician 208M00000X 72612 MN

Addresses

Primary practice location

6190 Barnes Rd
Colorado Springs, CO 80922-2600

Mailing address

6190 Barnes Rd
Colorado Springs, CO 80922-2600
Phone (719) 596-4502

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY, TX, CO, WI4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20140428001767 WY Practitioner - Pediatric Medicine 4789817792 Reassigns benefits to 2 organizations
I20150515001379 TX Practitioner - Pediatric Medicine 4789817792 Reassigns benefits to 1 organization
I20150914000391 CO Practitioner - Pediatric MedicinePractitioner - Emergency Medicine 4789817792 Reassigns benefits to 2 organizations
I20240325002934 WI Practitioner - Pediatric Medicine 4789817792 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
4031WIMDEndodontist
43123COMDPediatrics Physician
72612MNMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lutheran Hospital Association of the San Luis Valley CurrentSince Oct 11, 2021 Accepting new patients
Aspirus Riverview Hospital & Clinics, Inc. CurrentSince Apr 26, 2024 Accepting new patients
Aspirus Riverview Hospital & Clinics, Inc. CurrentSince Apr 26, 2024 Accepting new patients
Lutheran Hospital Association of the San Luis Valley CurrentSince Oct 11, 2021 Accepting new patients
Aspirus Riverview Hospital & Clinics, Inc. Current Accepting new patients
Memorial Hospital of Sweetwater County CurrentSince Dec 1, 2022 Accepting new patients
DHHS, PHS, Naihs, Shiprock Hospital CurrentSince Apr 13, 2015 Accepting new patients
Matthews-Vu Medical Group, P.C. Pediatrics CurrentSince Nov 15, 2015 Accepting new patients
Matthews-Vu Medical Group, P.C. CurrentSince Nov 15, 2015 Accepting new patients
Memorial Hospital of Sweetwater County CurrentSince Dec 1, 2022 Accepting new patients
Matthews-Vu Medical Group, P.C. Current Accepting new patients
DHHS, PHS, Naihs, Shiprock Hospital CurrentSince Apr 13, 2015 Accepting new patients

Locations

106 Blanca Ave
Alamosa, CO 81101
Phone (719) 589-2511

104 Pro Rodeo Dr
Ste 100
Colorado Springs, CO 80919
Phone (719) 522-0707

4190 E Woodmen Rd
Ste 100
Colorado Springs, CO 80920
Phone (630) 328-7971

310 County Road 14
Del Norte, CO 81132
Phone (719) 657-2510

29980 Network Pl
Chicago, IL 60673

420 Dewey St
Wisconsin Rapids, WI 54494
Phone (715) 421-7474

1200 College Dr
Rock Springs, WY 82901
Phone (307) 352-8352

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/10114/brand/2/csg/1/fhir/r4
  • Direct secure messaging: jkalan218250@direct.aspirus.org

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1932225356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6190 BARNES RD",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809222600",
            "telephone_number": "719-596-4502",
            "fax_number": "719-598-8020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6190 BARNES RD",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809222600",
            "telephone_number": "719-596-4502",
            "fax_number": "719-598-8020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALAN",
        "first_name": "JASON",
        "middle_name": "CHRISTOPHER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-21",
        "last_updated": "2023-03-07",
        "certification_date": "2022-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "WY",
            "license": "9475A",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CO",
            "license": "43123",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "MN",
            "license": "72612",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.