DR. JEAN MARIE KALLIS MD
NPI 1083685317
Pediatrics - Pediatric Emergency Medicine in Louisville, KY

Q: What is Jean Kallis's NPI number?

The NPI number for Jean Kallis is 1083685317. It was assigned to this individual provider in the NPPES registry on January 26, 2006. The provider is also known as Jean Marie Ogburn M.D..

Q: What is Jean Kallis's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Emergency Medicine, with taxonomy code 2080P0204X.

Q: When was this NPI record last updated?

The NPPES record for Jean Kallis was last updated on November 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since January 26, 2006PECOS Enrolled

231 E CHESTNUT ST, LOUISVILLE, KY 40202(502) 629-6000(502) 629-5991 Get Directions Write a Review

NPPES record last updated: November 18, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 18, 2024, Apr 8, 2020 (2 updates tracked since 2020).

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About Dr. Jean Marie Kallis Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JEAN MARIE KALLIS MD (NPI 1083685317) is an individual pediatric emergency medicine provider in Louisville, Kentucky, licensed in Kentucky (31457) and active in the NPI registry since January 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1083685317

Entity TypeIndividualFemale

Primary Taxonomy2080P0204X

Provider Legal NameDR. JEAN MARIE KALLISCredential: MD

Location Address231 E CHESTNUT STLouisville, KY 40202-1821

Mailing AddressPo Box 776879Chicago, IL 60677-6879 · (502) 588-9490 · Fax (502) 272-5116

Phone(502) 629-6000

Fax(502) 629-5991

Sole ProprietorNo

Enumeration DateJanuary 26, 2006

Last NPPES UpdateNovember 18, 20242 updates tracked since enumeration

NPPES CertifiedNovember 18, 2024

✔ NPI 1083685317 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric Emergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080P0204X

License✔ Licensed in KY · 31457

Definition

A pediatrician who has special qualifications to manage emergencies in infants and children.

Also ListedPediatricsTaxonomy 208000000X · License 31457 (KY)

231 E CHESTNUT ST, Louisville, KY 40202

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Other Names 1

Former Name (1)Jean Marie Ogburn M.d.

Other Identifiers 2

Medicaid64937543KY

Medicaid200012490IN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jean Marie Kallis Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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