DR. JAMES EDWARD KALLAL M.D. NPI 1083614531

NPI Information

NPI: 1083614531
Provider Name: DR. JAMES EDWARD KALLAL, M.D.
Classification: Internal Medicine - 207RC0000X
Entity Type: Individual

Specialization: Cardiovascular Disease

PECOS Registration: Yes

Address:
100 RETREAT AVE
HARTFORD, CT
ZIP 06106
Phone: (860) 522-5712
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DR. James Edward Kallal, M.D. is a cardiovascular disease internal medicine in Hartford, CT. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. DR. James Edward Kallal, M.D. NPI is 1083614531. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

100 RETREAT AVE
HARTFORD, CT
ZIP 06106-528
Phone: (860) 522-5712
Fax: (860) 520-4270

The NPI 1083614531 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/27/2005 and was last updated on 5/26/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207RC0000X	Internal Medicine	Cardiovascular Disease	019484	CONNECTICUT	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	2043107	OTHER	CONNECTICUT	AETNA ID#
2	010019484CT01	OTHER	CONNECTICUT	ANTHEM BCBS ID#
3	B38213	MEDICARE UPIN	CONNECTICUT
4	0521150446	OTHER	CONNECTICUT	CONNECTICARE ID#
5	13459	OTHER	CONNECTICUT	HEALTH NEW ENGLAND ID#
6	OS2283	OTHER	CONNECTICUT	HEALTHNET ID#
7	110000876	MEDICARE PIN	CONNECTICUT
8	2266768003	OTHER	CONNECTICUT	CIGNA ID#
9	001194844	MEDICAID	CONNECTICUT
10	P1236548	OTHER	CONNECTICUT	OXFORD HEALTH ID#
11	P12038342	OTHER	CONNECTICUT	MULTIPLAN ID#

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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