Mark H. Kalenian, M.D.
Individual provider Active NPI Allergy & Immunology Physician · Dothan, AL
NPI 1972504397 · NPPES record last updated Feb 1, 2013
Key facts
- NPI
- 1972504397
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Allergy & Immunology Physician 207K00000X
- License
- AL16176 (AL)
- Practice address
- 520 John D. Odom Rd.
Dothan, AL 36303-9461 - Phone
- (334) 794-2718
- Fax
- (334) 671-1905
- NPI assigned
- Aug 9, 2005
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 9
Medicare Care Compare profile
- Specialty
- Allergy/Immunology
- Education
- Hahnemann University College of Medicine, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Continuum Health Aic, Inc
Practice addresses (Care Compare)
3246 Ross Clark Cir
Suite 2
Dothan, AL 36303-3036
Phone (800) 665-2850
4300 W Main St
Suite 102
Dothan, AL 36305-1306
Phone (334) 793-9564
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20081231000031 | AL | Practitioner - Allergy/Immunology |
9234179367 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AL16176 | AL | MD | Allergy & Immunology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Continuum Health Aic Inc | Current |
Accepting new patients | |
| Continuum Health Aic Inc | Current |
Accepting new patients | |
| Alabama Asthma & Allergy Care Center PC | Allergy & Immunology | Current |
Accepting new patients |
| Continuum Health Aic Inc | Current | Accepting new patients | |
| Wiregrass Family Practice of Dothan PC | Past | Accepting new patients | |
| Hospital Authority of the City of Bainbridge and Decatur County | Past | Accepting new patients | |
| Continuum Health Aic Inc | Past | Accepting new patients | |
| Premier Allergist of Florida LLC | Allergy & Immunology | Past | Accepting new patients |
Locations
2 Perimeter Park S
Ste 260E
Birmingham, AL 35243
3246 Ross Clark Cir
Ste 2
Dothan, AL 36303
Phone (334) 316-0191
4300 W Main St
Ste 102
Dothan, AL 36305
Phone (334) 793-9564
2415 Central Pkwy
Ste B
Montgomery, AL 36106
Phone (205) 271-9970
Interoperability endpoints
- mkalenian@affiliated.emadirect.md
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Allergy & Immunology Physician | 207K00000X | AL16176 | AL | Yes |
Addresses
Primary practice location
520 John D. Odom Rd.
Dothan, AL 36303-9461
Mailing address
520 John D. Odom Rd.
Dothan, AL 36303-9461
Phone (334) 794-2718
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 051509093 | Medicaid | AL |
Other providers in Dothan, AL
- Joel Jules
- Jeffery Charles Justice
- Uday Teja Juturu
- Gaurab K C
- K. Lamar Hart Jr MD
- Anudeep Kandel
- Ravindranath V. Kantamneni
- Linda S Karle
- Dinesh K Karumanchi
- Vindhya Katpally
All providers in Dothan, AL · Allergy & Immunology Physician in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 1, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.