JONATHAN A KALLIS LCSW
NPI 1629017868
Social Worker - Clinical in Rancho Mirage, CA
About Jonathan A Kallis Lcsw NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JONATHAN A KALLIS LCSW (NPI 1629017868) is an individual clinical provider in Rancho Mirage, California, licensed in California (82079) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1993).
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Jonathan A Kallis Lcsw 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.
Medicare Billing Reassignment
Medicare enrollment records show Jonathan Kallis reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Rancho Mirage, CA 92270
- Reassigned Medicare billing, California enrollment
- 595 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 3
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 92270 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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.
RANCHO MIRAGE, CA 92270
RANCHO MIRAGE, CA 92270
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 Jonathan Kallis's NPI number?
The NPI number for Jonathan Kallis is 1629017868. It was assigned to this individual provider in the NPPES registry on June 5, 2006.
Where is Jonathan Kallis located?
Jonathan Kallis practices at 39000 Bob Hope Dr, Rancho Mirage, CA 92270. The listed phone number is (760) 837-8767.
What is Jonathan Kallis's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Jonathan Kallis enrolled in Medicare?
Yes. Jonathan Kallis 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.
Which organization bills Medicare for Jonathan Kallis's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jonathan Kallis reassigns Medicare benefits to Eisenhower Medical Center (Rancho Mirage, CA). The 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 Jonathan Kallis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Jonathan Kallis was last updated on June 30, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Jonathan A Kallis, LCSW · NPI 1629017868
Clinical provider in Rancho Mirage, California. Individual provider, active in the CMS NPPES registry since June 5, 2006.
## Identity
- **NPI:** 1629017868 (Entity type: Individual)
- **Enumerated:** June 5, 2006
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **State license:** 82079 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 39000 BOB HOPE DR, Rancho Mirage, CA 92270-3221
- **Phone:** (760) 837-8767 · **Fax:** (760) 837-8806
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Eisenhower Medical Center (NPI 1013981554, Rancho Mirage, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1993
## Record status
- **NPPES last updated:** June 30, 2022
- **Other identifiers:** Medicaid 8200117300 (KY)
---
Source: [NPI Profile](https://npiprofile.com/npi/1629017868) · Data from the CMS NPPES public registry.