Organization Active NPI

Affiliated Knee Pain Specialists PLLC

  • Internal Medicine Physician
  • Flint, MI
National Provider Identifier
1992421747
Registry record updated Jan 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
AFFILIATED KNEE PAIN SPECIALISTS PLLC
Practice address
2503 S Linden Rd Ste 120
Flint, MI 48532-5463
Phone
(313) 512-7111
NPI assigned
Oct 13, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2023

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

Authorized official

Name
Steve Z KallabatNPI 1245291475
Title
Owner
Phone
(248) 331-1700

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

2503 S Linden Rd Ste 120
Flint, MI 48532-5463

Mailing address

31333 Southfield Rd Ste 130
Beverly Hills, MI 48025-5412

Other names 1

  • NU LIFE MEDICAL Doing business as

National Provider Directory

National Provider Directory

Locations

31333 Southfield Rd
Ste 130
Beverly Hills, MI 48025
Phone (248) 952-9190

211 Hamilton Row
Birmingham, MI 48009
Phone (928) 445-7085

8565 N Silvery Ln
Ste 402
Dearborn Heights, MI 48127
Phone (313) 512-7111

2503 S Linden Rd
Ste 120
Flint, MI 48532
Phone (313) 512-7111

Practitioners & affiliated clinicians

Practitioners 8

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

NPI Registry JSON

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

{
    "created_epoch": "1665619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674518400000",
    "number": "1992421747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31333 SOUTHFIELD RD STE 130",
            "city": "BEVERLY HILLS",
            "state": "MI",
            "postal_code": "480255412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2503 S LINDEN RD STE 120",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485325463",
            "telephone_number": "313-512-7111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFFILIATED KNEE PAIN SPECIALISTS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-13",
        "last_updated": "2023-01-24",
        "certification_date": "2023-01-24",
        "status": "A",
        "authorized_official_last_name": "KALLABAT",
        "authorized_official_first_name": "STEVE",
        "authorized_official_middle_name": "Z",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-331-1700"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NU LIFE MEDICAL",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "NU LIFE MEDICAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Flint, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.