DR. KALUB ALEXANDER FEDAK M.D.
NPI 1225353139
Internal Medicine - Hematology & Oncology in Petoskey, MI

Active since April 02, 2010PECOS EnrolledAccepts Medicare Assignment
560 W MITCHELL ST STE 185, PETOSKEY, MI 49770(231) 487-3390(231) 487-3578 Get Directions Write a Review

NPPES record last updated: September 7, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Sep 7, 2023, Oct 11, 2016 (2 updates tracked since 2016).

About Dr. Kalub Alexander Fedak M.d. NPPES

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

DR. KALUB ALEXANDER FEDAK M.D. (NPI 1225353139) is an individual hematology & oncology provider in Petoskey, Michigan, licensed in Michigan (4301104179) and active in the NPI registry since April 2010. He is enrolled in Medicare PECOS, is affiliated with Mclaren Central Michigan, and is a graduate of Michigan State University College Of Human Medicine (2010).

NPPES Registry Identity

NPI1225353139
Entity TypeIndividualMale
Primary Taxonomy207RH0003X
Provider Legal NameDR. KALUB ALEXANDER FEDAKCredential: M.D.
Location Address560 W MITCHELL ST STE 185Petoskey, MI 49770-2296
Mailing Address560 W Mitchell St Ste 185Petoskey, MI 49770-2296 · (231) 487-3390 · Fax (314) 873-5782
Fax(231) 487-3578
Sole ProprietorNo
Medical School CMSMichigan State University College Of Human MedicineGraduated 2010
Enumeration DateApril 2, 2010
Last NPPES UpdateSeptember 7, 20232 updates tracked since enumeration
NPPES CertifiedSeptember 7, 2023
NPI 1225353139 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
License Licensed in MI · 4301104179
Definition

An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

Also ListedInternal MedicineTaxonomy 207R00000X · License 4301104179 (MI)
560 W MITCHELL ST STE 185, Petoskey, MI 49770

Other Identifiers 1

Other1225353139MI · Npi

Accepted Insurance

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. Kalub Alexander Fedak M.d. 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 ID1850527375
PECOS Enrollment IDI20131111001439
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 3

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 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 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.
104 services47 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
20 services20 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
19 services19 patients

Hospital Affiliations CMS Care Compare 5

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

Mclaren Central Michigan

Acute Care Hospitals · Mount Pleasant, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230080
Location1221 South DriveMount Pleasant, MI 48858 · Isabella County
Emergency services Birthing friendly

Mclaren Northern Michigan

Acute Care Hospitals · Petoskey, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number230105
Location416 Connable AvePetoskey, MI 49770 · Emmet County
Emergency services Birthing friendly

Munson Healthcare Otsego Memorial Hospital

Acute Care Hospitals · Gaylord, MI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230133
Location825 N Center AveGaylord, MI 49735 · Otsego County
Birthing friendly

Chippewa County War Memorial Hospital

Acute Care Hospitals · Sault Sainte Marie, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230239
Location500 Osborn BlvdSault Sainte Marie, MI 49783 · Chippewa County
Emergency services Birthing friendly

Charlevoix Area Hospital

Critical Access Hospitals · Charlevoix, MI
OwnershipVoluntary non-profit - Other
CMS Certification Number231322
Location14700 Lakeshore DriveCharlevoix, MI 49720 · Charlevoix County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49770 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
$166.68 typical visit price
range $54.34 – $166.68
Typical copayment $41.67 (range $13.58 – $41.67)
Most-billed visit code 99205
Established Patient
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
Most-billed visit code 99214
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 4

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

Nurse Practitioner (Family)
560 W MITCHELL ST STE 185
PETOSKEY, MI 49770
Nurse Practitioner
560 W MITCHELL ST STE 185
PETOSKEY, MI 49770
Social Worker (Clinical)
560 W MITCHELL ST STE 185
PETOSKEY, MI 49770
Internal Medicine (Hematology & Oncology)
560 W MITCHELL ST STE 185
PETOSKEY, MI 49770

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1225353139, enumerated as an "individual" on April 02, 2010.

The provider is located at 560 W MITCHELL ST STE 185 PETOSKEY, MI 49770 and the phone number is (231) 487-3390.

Internal Medicine with taxonomy code 207RH0003X and a focus in Hematology & Oncology.

The provider might be accepting Accepts: Ambetter from Buckeye Health Plan, Ambetter from. Please consult your insurance carrier or call the provider to verify.

Kalub Fedak is affiliated with: MCLAREN CENTRAL MICHIGAN, MCLAREN NORTHERN MICHIGAN, MUNSON HEALTHCARE OTSEGO MEMORIAL HOSPITAL, CHIPPEWA COUNTY WAR MEMORIAL HOSPITAL and CHARLEVOIX AREA HOSPITAL.