Individual provider Active NPI

Mark H. Kalenian, M.D.

  • Allergy & Immunology Physician
  • Dothan, AL
National Provider Identifier
1972504397
Registry record updated Feb 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
AL16176 Issued in 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
Last updated
Feb 1, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 1, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X AL16176 AL Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20081231000031 AL Practitioner - Allergy/ImmunologyPractitioner - Internal Medicine 9234179367 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Allergy/ImmunologyAlso: Internal Medicine
Education
Hahnemann University College of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Continuum Health Aic, IncGroup PAC ID 0143626382, 13 clinicians

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

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AL16176ALMDAllergy & Immunology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Alabama Asthma & Allergy Care Center PC Allergy & Immunology CurrentSince May 15, 2025 Accepting new patients
Continuum Health Aic Inc Current Accepting new patients
Continuum Health Aic Inc CurrentSince Sep 12, 2023 Accepting new patients
Continuum Health Aic Inc CurrentSince Sep 12, 2023 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
Wiregrass Family Practice of Dothan PC 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 (334) 409-9490

Interoperability endpoints

  • Direct secure messaging: mkalenian@affiliated.emadirect.md

Organizations & group practices 8

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": "1123545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359676800000",
    "number": "1972504397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 JOHN D. ODOM RD.",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363039461",
            "telephone_number": "334-794-2718",
            "fax_number": "334-671-1905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 JOHN D. ODOM RD.",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363039461",
            "telephone_number": "334-794-2718",
            "fax_number": "334-671-1905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALENIAN",
        "first_name": "MARK",
        "middle_name": "H.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-09",
        "last_updated": "2013-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "AL",
            "license": "AL16176",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dothan, AL

Sources for this page

Verify at the official NPI Registry.