Active NPI
Tonya A Kallmeyer, PA
- Physician Assistant
- Newport, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA2356
- Practice address
- 1400 Grand Ave
Newport, KY 41071-2570 - Phone
- (859) 301-5901
- Fax
- (859) 301-5940
- NPI assigned
- Aug 1, 2011
- Last updated
- Feb 25, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | TC708 | KY | |
| Medical Physician Assistant | 363AM0700X | 0110003641 | VA | |
| Physician Assistant | 363A00000X | PA2356 | KY | Primary |
Addresses
Primary practice location
1400 Grand Ave
Newport, KY 41071-2570
Mailing address
PO Box 635283
Cincinnati, OH 45263-5283
Phone (859) 301-5901
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Eastern Virginia Medical School, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1400 Grand Ave
Newport, KY 41071-2570
Phone (859) 301-5901
300 Barnes Rd
Williamstown, KY 41097-9483
Phone (859) 824-8400
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.01 of 100
- Quality
- 86.02
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA2356 | KY | MD | Physician Assistant |
| TC708 | KY | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Summit Medical Group, Inc | Physician Assistant | Current | Accepting new patients |
| Summit Medical Group, Inc. | Current | Accepting new patients | |
| Summit Medical Group, Inc | Physician Assistant | Past | Accepting new patients |
Locations
6105 1st Financial Dr
Burlington, KY 41005
Phone (859) 525-1846
1500 James Simpson Jr Way
Covington, KY 41011
Phone (859) 655-4353
351 Centre View Blvd
Crestview Hills, KY 41017
Phone (859) 572-2000
334 Thomas More Pkwy
Crestview Hills, KY 41017
Phone (859) 331-6065
405 Violet Rd
Crittenden, KY 41030
Phone (859) 428-1610
1 Medical Village Dr
Edgewood, KY 41017
Phone (859) 301-2000
820 Dolwick Dr
Erlanger, KY 41018
Phone (859) 429-5188
4900 Houston Rd
Florence, KY 41042
Phone (859) 212-5200
85 N Grand Ave
Fort Thomas, KY 41075
Phone (859) 572-3100
1400 Grand Ave
Newport, KY 41071
Phone (859) 905-3070
13260 Service Rd
Walton, KY 41094
Phone (859) 341-6281
300 Barnes Rd
Williamstown, KY 41097
Phone (859) 824-8217
238 Barnes Rd
Williamstown, KY 41097
Phone (859) 292-4000
Interoperability endpoints
- tkallmeyer231595@direct-prd.stelizabeth.com
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba St. Elizabeth Physicians
- Family Medicine Physician
- Erlanger, KY
- NPI 1750343216
Physician Assistant
-
dba St. Elizabeth Physicians Behavioral Health
- Psychiatry Physician
- Erlanger, KY
- NPI 1508287640
Physician Assistant
-
dba St. Elizabeth Physicians
- Foot & Ankle Surgery Podiatrist
- Crestview Hills, KY
- NPI 1043188378
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1312156800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1645747200000",
"number": "1952689580",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 635283",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452635283",
"telephone_number": "859-301-5901",
"fax_number": "859-301-5940"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 GRAND AVE",
"city": "NEWPORT",
"state": "KY",
"postal_code": "410712570",
"telephone_number": "859-301-5901",
"fax_number": "859-301-5940"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KALLMEYER",
"first_name": "TONYA",
"middle_name": "A",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-08-01",
"last_updated": "2022-02-25",
"certification_date": "2022-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "KY",
"license": "TC708",
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "VA",
"license": "0110003641",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "KY",
"license": "PA2356",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Newport, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2022; 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.