DR. KATHERINE MACCALLUM MD
NPI 1194110189
Surgery - Vascular Surgery in Providence, RI

Active since April 06, 2015PECOS EnrolledAccepts Medicare Assignment
2 DUDLEY ST STE 470, PROVIDENCE, RI 02905(401) 553-8325(401) 868-2336 Get Directions Write a Review

NPPES record last updated: September 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Katherine Maccallum Md NPPES

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

DR. KATHERINE MACCALLUM MD (NPI 1194110189) is an individual vascular surgery provider in Providence, Rhode Island, licensed in Rhode Island (MD18473) and active in the NPI registry since April 2015. She is enrolled in Medicare PECOS, is affiliated with Jacobi Medical Center, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1194110189
Entity TypeIndividualFemale
Primary Taxonomy2086S0129X
Provider Legal NameDR. KATHERINE MACCALLUMCredential: MD
Location Address2 DUDLEY ST STE 470Providence, RI 02905-3248
Mailing Address2 Dudley St Ste 470Providence, RI 02905-3248 · (401) 553-8325 · Fax (401) 868-2336
Fax(401) 868-2336
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateApril 6, 2015
Last NPPES UpdateSeptember 21, 2022
NPPES CertifiedApril 18, 2022
NPI 1194110189 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySurgery · Vascular SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0129X
Licenses Licensed in RI · MD18473 Licensed in MA · 293441
Definition
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
2 DUDLEY ST STE 470, Providence, RI 02905

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Katherine Maccallum Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3870833692
PECOS Enrollment IDI20220728000808
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.

Areas of Expertise CMS Part B claims 9

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
67 services53 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
35 services33 patients
Complete ultrasound study of arm and leg arteries 93923
This procedure involves using sound waves to produce images of your arm and leg arteries. It helps identify blockages or abnormalities that could lead to conditions like stroke or peripheral artery disease. It's non-invasive and painless.
27 services20 patients
Ultrasound study of arm and leg arteries 93922
An ultrasound study of arm and leg arteries is a non-invasive procedure that uses sound waves to create images of your arteries. It helps in checking blood flow, identifying blockages, or detecting other abnormalities in your arteries.
26 services20 patients
Ultrasound study of arm or leg veins with compression and maneuvers 93970
An ultrasound study of arm or leg veins with compression and maneuvers is a non-invasive procedure that uses sound waves to create images of your veins. This helps identify blood clots or other vein problems. During the procedure, pressure is applied to the veins and certain movements are performed to assess blood flow.
25 services24 patients
Ultrasound study of one arm or leg veins with compression and maneuvers 93971
This is a non-invasive procedure using sound waves to visualize veins in an arm or leg. It involves applying gentle pressure and performing certain movements. It helps identify any abnormal blood flow or clots, ensuring vascular health.
25 services16 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Jacobi Medical Center

Acute Care Hospitals · Bronx, NY
1/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number330127
Location1400 Pelham Parkway SouthBronx, NY 10461 · Bronx County
Emergency services Birthing friendly

Rhode Island Hospital

Acute Care Hospitals · Providence, RI
3/5 CMS rating
OwnershipTribal
CMS Certification Number410007
Location593 Eddy StreetProvidence, RI 02903 · Providence County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02905 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$90.48 typical visit price
range $58.57 – $177.03
Typical copayment $22.62 (range $14.64 – $44.25)
Most-billed visit code 99203
Established Patient
$72.93 typical visit price
range $18.92 – $144.38
Typical copayment $18.23 (range $4.73 – $36.09)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Surgery (Surgical Critical Care)
2 DUDLEY ST STE 470
PROVIDENCE, RI 02905
Surgery
2 DUDLEY ST STE 470
PROVIDENCE, RI 02905
Thoracic Surgery (Cardiothoracic Vascular Surgery)
2 DUDLEY ST STE 470
PROVIDENCE, RI 02905
Surgery
2 DUDLEY ST STE 470
PROVIDENCE, RI 02905
Surgery (Surgical Oncology)
2 DUDLEY ST STE 470
PROVIDENCE, RI 02905
Physician Assistant
2 DUDLEY ST STE 470
PROVIDENCE, RI 02905
Transplant Surgery
2 DUDLEY ST STE 470
PROVIDENCE, RI 02905
Nurse Practitioner
2 DUDLEY ST STE 470
PROVIDENCE, RI 02905

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 Katherine Maccallum's NPI number?

The NPI number for Katherine Maccallum is 1194110189. It was assigned to this individual provider in the NPPES registry on April 6, 2015.

Where is Katherine Maccallum located?

Katherine Maccallum practices at 2 Dudley St Ste 470, Providence, RI 02905. The listed phone number is (401) 553-8325.

What is Katherine Maccallum's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

Is Katherine Maccallum enrolled in Medicare?

Yes. Katherine Maccallum is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Katherine Maccallum affiliated with any hospitals?

According to CMS data, Katherine Maccallum is affiliated with Jacobi Medical Center and Rhode Island Hospital.

When was this NPI record last updated?

The NPPES record for Katherine Maccallum was last updated on September 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.