LIGHT MATTER SOLUTIONS LLC
NPI 1457816332
Internal Medicine in Richland Center, WI

Q: What is Light Matter Solutions LLC's NPI number?

The NPI number for Light Matter Solutions LLC is 1457816332. It was assigned to this organization in the NPPES registry on February 5, 2019.

Q: What is Light Matter Solutions LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Active since February 05, 2019

333 E 2ND ST, RICHLAND CENTER, WI 53581(702) 453-3799(702) 453-5741 Get Directions Write a Review

NPPES record last updated: February 5, 2019. Verified against the NPPES registry weekly; last sync: November 01, 2026.

On this page

About Light Matter Solutions Llc NPPES

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

LIGHT MATTER SOLUTIONS LLC (NPI 1457816332) is a healthcare organization registered as an internal medicine in Richland Center, Wisconsin and active in the NPI registry since February 2019. The organization maintains a secondary practice location in Mishawaka and lists Jacob Kalliath, Sole Owner, as its authorized official.

NPPES Registry Identity

NPI1457816332

Entity TypeOrganization

Primary Taxonomy207R00000X

Legal Business NameLIGHT MATTER SOLUTIONS LLC

Location Address333 E 2ND STRichland Center, WI 53581-1914

Mailing Address2660 Crimson Canyon Dr Ste 130Las Vegas, NV 89128-0846 · (702) 453-3799 · Fax (702) 453-5741

Phone(702) 453-3799

Fax(702) 453-5741

Organization SubpartNo

Authorized OfficialJacob KalliathSole Owner · (256) 810-2308

Enumeration DateFebruary 5, 2019

✔ NPI 1457816332 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

333 E 2ND ST, Richland Center, WI 53581

Open in Google Maps ↗

Secondary Practice Location 1

Location 14455 Edison Lakes PkwyMishawaka, IN 46545-1414 · Phone (702) 453-3799 · Fax (702) 453-5741

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Light Matter Solutions Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Light Matter Solutions LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Jacob Kalliath, D.O.

Internal Medicine

NPI 1134569395

20201 CRAWFORD AVE
Olympia Fields, IL 60461

(708) 679-2160

✔ PECOS✔ Accepts Medicare185 mi

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

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 Light Matter Solutions LLC's NPI number?

The NPI number for Light Matter Solutions LLC is 1457816332. It was assigned to this organization in the NPPES registry on February 5, 2019.

Where is Light Matter Solutions LLC located?

Light Matter Solutions LLC is located at 333 E 2nd St, Richland Center, WI 53581. The listed phone number is (702) 453-3799.

What is Light Matter Solutions LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Light Matter Solutions LLC enrolled in Medicare?

Yes. Light Matter Solutions LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Light Matter Solutions LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Light Matter Solutions LLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Light Matter Solutions LLC was last updated on February 5, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.