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

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: October 25, 2026.

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

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 Anthem Blue Cross and Blue Shield, CareSource.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Jean Kallis reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

University Of Louisville Physicians
Same address
Pediatrics
231 E CHESTNUT ST
Louisville, KY 40202
  • Reassigned Medicare billing, Kentucky enrollment
  • 2,337 clinicians in this Medicare group
NPI 1073879797 (502) 629-6000
Norton Children's Medical Group, LLC
10 mi
Clinical Genetics (M.D.)
4803 OLYMPIA PARK PLZ STE 1100
Louisville, KY 40241
  • Reassigned Medicare billing, Kentucky enrollment
  • Medicare enrollment name: Norton Childrens Medical Group LLC
  • 1,008 clinicians in this Medicare group
NPI 1013559921 (502) 272-5336

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

HERON BAUMGARTEN
Surgery
231 E CHESTNUT ST
LOUISVILLE, KY 40202
Jefferson County (502) 588-0390
SHELBYE M SCHWEINHART
Pediatrics
231 E CHESTNUT ST
LOUISVILLE, KY 40202
Jefferson County (502) 588-0982
CYNTHIA ROMER FATA M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
231 E CHESTNUT ST
LOUISVILLE, KY 40202
Jefferson County (502) 456-6211
OLIVIA F MITTEL MD
Pediatrics
231 E CHESTNUT ST
LOUISVILLE, KY 40202
Jefferson County (502) 629-6000
ELIZABETH LEHTO
Pediatrics (Pediatric Emergency Medicine)
231 E CHESTNUT ST
LOUISVILLE, KY 40202
Jefferson County (502) 629-6000
MICHELE NICOLE BRESLER SNOW DO
Pediatrics
231 E CHESTNUT ST
LOUISVILLE, KY 40202
Jefferson County (502) 629-6000
JESSICA EARLINE LUVISI CRNA
Nurse Anesthetist, Certified Registered
231 E CHESTNUT ST
LOUISVILLE, KY 40202
Jefferson County (502) 629-6000
TRACE ROBERTSON KIMLER
Pediatrics
231 E CHESTNUT ST
LOUISVILLE, KY 40202
Jefferson County (502) 629-6000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

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..

Where is Jean Kallis located?

Jean Kallis practices at 231 E Chestnut St, Louisville, KY 40202. The listed phone number is (502) 629-6000.

What is Jean Kallis's specialty?

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

Is Jean Kallis enrolled in Medicare?

Yes. Jean Kallis is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Jean Kallis's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jean Kallis reassigns Medicare benefits to 2 organizations: University Of Louisville Physicians (Louisville, KY) and Norton Children's Medical Group, LLC (Louisville, KY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jean Kallis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jean Kallis accept?

Health plans from Anthem Blue Cross and Blue Shield and CareSource list Jean Kallis as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

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 23 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.