Active NPI
David B Kalayjian, MD
- Orthopaedic Surgery Physician
- Middletown, CT
National Provider Identifier
1992892095
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 016536
- Practice address
- 512 Saybrook Rd
Suite 100
Middletown, CT 06457-4788 - Phone
- (860) 347-7636
- Fax
- (860) 894-1882
- NPI assigned
- Oct 9, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 016536 | CT | Primary |
Addresses
Primary practice location
512 Saybrook Rd
Suite 100
Middletown, CT 06457-4788
Mailing address
512 Saybrook Rd
Suite 100
Middletown, CT 06457-4788
Phone (860) 347-7636
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001165364 | Medicaid | CT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 016536 | CT | MD | Orthopaedic Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160352000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1263168000000",
"number": "1992892095",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "512 SAYBROOK RD",
"address_2": "SUITE 100",
"city": "MIDDLETOWN",
"state": "CT",
"postal_code": "064574788",
"telephone_number": "860-347-7636",
"fax_number": "860-894-1882"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "512 SAYBROOK RD",
"address_2": "SUITE 100",
"city": "MIDDLETOWN",
"state": "CT",
"postal_code": "064574788",
"telephone_number": "860-347-7636",
"fax_number": "860-894-1882"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KALAYJIAN",
"first_name": "DAVID",
"middle_name": "B",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-09",
"last_updated": "2010-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "CT",
"license": "016536",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001165364",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Middletown, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.