DR. JAMES EDWARD KALLAL M.D.
NPI 1083614531
Internal Medicine - Cardiovascular Disease in Hartford, CT
NPI Status: Active since July 27, 2005
Contact Information
100 RETREAT AVE
HARTFORD, CT
ZIP 06106
Phone: (860) 522-5712
Fax: (860) 520-4270
- Individual
- Male
- Internal Medicine
- Cardiovascular Disease
- PECOS Enrolled
About JAMES KALLAL
This page provides the complete NPI Profile along with additional information for James Kallal, an internist established in Hartford, Connecticut with a medical specialization in Internal Medicine, focusing in cardiovascular disease . The healthcare provider is registered in the NPI registry with number 1083614531 assigned on July 2005. The practitioner's primary taxonomy code is 207RC0000X with license number 019484 (CT). The provider is registered as an individual and his NPI record was last updated 14 years ago.
- NPI
- 1083614531
- Provider Name
- DR. JAMES EDWARD KALLAL M.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 100 RETREAT AVE HARTFORD, CT 06106
- Location Phone
- (860) 522-5712
- Location Fax
- (860) 520-4270
- Mailing Address
- 100 RETREAT AVE HARTFORD, CT 06106
- Mailing Phone
- (860) 522-5712
- Mailing Fax
- (860) 520-4270
- Is Sole Proprietor?
- No
- Enumeration Date
- 07-27-2005
- Last Update Date
- 05-26-2011
- Code Navigator
An internist like James Kallal is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Internal Medicine Cardiovascular Disease
- Taxonomy Code
- 207RC0000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 019484
- License State
- CT
- Taxonomy Description
- 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.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2043107 | OTHER (01) | CT | AETNA ID# |
| 010019484CT01 | OTHER (01) | CT | ANTHEM BCBS ID# |
| B38213 | MEDICARE UPIN (02) | CT | |
| 0521150446 | OTHER (01) | CT | CONNECTICARE ID# |
| 13459 | OTHER (01) | CT | HEALTH NEW ENGLAND ID# |
| OS2283 | OTHER (01) | CT | HEALTHNET ID# |
| 110000876 | MEDICARE PIN (08) | CT | |
| 2266768003 | OTHER (01) | CT | CIGNA ID# |
| 001194844 | MEDICAID (05) | CT | |
| P1236548 | OTHER (01) | CT | OXFORD HEALTH ID# |
| P12038342 | OTHER (01) | CT | MULTIPLAN ID# |
Medicare Participation & PECOS Enrollment Status
James Kallal is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 06106 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99204
- Average New Patient Price $138.84
- Minimum New Patient Price $60.82
- Maximum New Patient Price $183.1
- Average New Patient Copayment $34.71
- Minimum New Patient Copayment $15.2
- Maximum New Patient Copayment $45.77
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $75.55
- Minimum Established Patient Price $19.76
- Maximum Established Patient Price $149.26
- Average Established Patient Copayment $18.88
- Minimum Established Patient Copayment $4.94
- Maximum Established Patient Copayment $37.31
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Reviews for DR. JAMES EDWARD KALLAL M.D.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 0 | 8 | 3 | 6 | 1 | 4 | 5 | 3 | 1 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 16 | 3 | 12 | 1 | 8 | 5 | 6 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 0 + 1 + 6 + 3 + 1 + 2 + 1 + 8 + 5 + 6 + 24 = 59 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 59 = 1 | 1 | ||||||||
The NPI number 1083614531 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
DR. JAMES PRATT CARDON M.D.
Internal Medicine
(Cardiovascular Disease)
100 RETREAT AVE
HARTFORD, CT
ZIP 06106
DR. MELISSA J FERRARO-BORGIDA M.D.
Internal Medicine
(Cardiovascular Disease)
100 RETREAT AVE
HARTFORD, CT
ZIP 06106
DR. BRETT HUNTER DUNCAN M.D.
Internal Medicine
(Cardiovascular Disease)
100 RETREAT AVE
HARTFORD, CT
ZIP 06106
DR. DAVID A KVAM M.D.
Neurological Surgery
100 RETREAT AVE
SUITE 705
HARTFORD, CT
ZIP 06106
DR. INAM U KURESHI M.D.
Neurological Surgery
100 RETREAT AVE
705
HARTFORD, CT
ZIP 06106
DR. THOMAS CLARK BANEVER M.D.
Surgery
100 RETREAT AVE
SUITE 808
HARTFORD, CT
ZIP 06106
MS. ANITA L SALERNO APRN
Nurse Practitioner
100 RETREAT AVE
SUITE 400
HARTFORD, CT
ZIP 06106
KELLEY LYN STURROCK MD
Obstetrics & Gynecology
100 RETREAT AVE
STE 201
HARTFORD, CT
ZIP 06106
HARTFORD SURGERY CENTER LLC
Clinic/Center
(Ambulatory Surgical)
100 RETREAT AVE
SUITE 302
HARTFORD, CT
ZIP 06106
LAURIE S COSENZA P.T.
Physical Therapist
100 RETREAT AVE
SUITE 306
HARTFORD, CT
ZIP 06106
KIRAN UBRIANI M.D.
Internal Medicine
(Endocrinology, Diabetes & Metabolism)
100 RETREAT AVE
SUITE 400
HARTFORD, CT
ZIP 06106
ROBERT M OBERSTEIN MD, FACE
Internal Medicine
(Endocrinology, Diabetes & Metabolism)
100 RETREAT AVE
SUITE 400
HARTFORD, CT
ZIP 06106
D. DAWSON SCOTT PA-C
Physician Assistant
(Surgical)
100 RETREAT AVE
#705
HARTFORD, CT
ZIP 06106
KIRSTEN D MARKOWITZ APRN
Clinical Nurse Specialist
(Adult Health)
100 RETREAT AVE
#705
HARTFORD, CT
ZIP 06106
DR. LEWIS PARKER M.D.
Internal Medicine
(Rheumatology)
100 RETREAT AVE
SUITE 501
HARTFORD, CT
ZIP 06106
DR. HELENA NOLASCO M.D.
Internal Medicine
(Rheumatology)
100 RETREAT AVE
SUITE 501
HARTFORD, CT
ZIP 06106
DR. CHRISTINE MCCRARY M.D.
Internal Medicine
(Rheumatology)
100 RETREAT AVE
SUITE 501
HARTFORD, CT
ZIP 06106
ELLEN ROBINSON MD
Obstetrics & Gynecology
100 RETREAT AVE
SUITE 201
HARTFORD, CT
ZIP 06106
MAXINE KLEIN MD
Obstetrics & Gynecology
(Gynecology)
100 RETREAT AVE
SUITE 201
HARTFORD, CT
ZIP 06106
KAREN M BEATTIE APRN
Nurse Practitioner
(Obstetrics & Gynecology)
100 RETREAT AVE
SUITE 201
HARTFORD, CT
ZIP 06106
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1083614531, enumerated as an "individual" on July 27, 2005.
The provider is located at 100 RETREAT AVE HARTFORD, CT 06106 and the phone number is (860) 522-5712.
Internal Medicine with taxonomy code 207RC0000X and a focus in Cardiovascular Disease.
The provider might be accepting Accepts: Aetna, Medicare, Medicaid, Blue Cross Blue Shield,. Please consult your insurance carrier or call the provider to verify.
