Kairos Clinic

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

KAIROS CLINIC

Practice address

214 N. Grant Street
Peru, IN 46970-1618

Phone

(765) 460-4345

Fax

(765) 460-4344

NPI assigned

Nov 13, 2023

Organization subpart

No

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

Authorized official

Name

Lynette Smith- Caillouet, M.D.NPI 1871680199

Title

Owner/Manager

Phone

(765) 460-4345

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lynette Smith-Caillouet, MD

  • Internal Medicine Physician
  • Peru, IN
  • NPI 1871680199

  IN

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1699833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782950400000",
    "number": "1962276782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 N. GRANT STREET",
            "city": "PERU",
            "state": "IN",
            "postal_code": "469701618",
            "telephone_number": "765-460-4345",
            "fax_number": "765-460-4344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 N. GRANT STREET",
            "city": "PERU",
            "state": "IN",
            "postal_code": "469701618",
            "telephone_number": "765-460-4345",
            "fax_number": "765-460-4344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAIROS CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-13",
        "last_updated": "2026-07-02",
        "certification_date": "2026-07-02",
        "status": "A",
        "authorized_official_last_name": "SMITH- CAILLOUET",
        "authorized_official_first_name": "LYNETTE",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "765-460-4345",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300092243",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Aaron Michael Jones, D.C.
• Amanda Lynn Jones, D.C.
• Michael Lee Jones, M.D.
• Trent R Jones, D.C.
• Justin Brown DDS LLC
• Eamonn M Keane, MD
• Richard L Keller II, MD
• Stephen D Kennedy, MD
• Agnes Kenny, MD
• Christa Nicole Kern, M.A., CCC-SLP

• Clinic/Center in Peru, IN
• Providers in Peru, IN by specialty
• Clinic/Center in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.