TIMOTHY DEVIN KALLAM PA-C
NPI 1922610328
Physician Assistant in Charlotte, NC

Active since August 18, 2020PECOS EnrolledAccepts Medicare Assignment
9915 PARK CEDAR DR, CHARLOTTE, NC 28210(704) 544-3263 Get Directions Write a Review

NPPES record last updated: August 18, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Timothy Devin Kallam Pa-c NPPES

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

TIMOTHY DEVIN KALLAM PA-C (NPI 1922610328) is an individual physician assistant in Charlotte, North Carolina, licensed in North Carolina (0010-10336) and active in the NPI registry since August 2020. He is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1922610328
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameTIMOTHY DEVIN KALLAMCredential: PA-C
Location Address9915 PARK CEDAR DRCharlotte, NC 28210-8905
Mailing Address4985 Friendly Farms RdGreensboro, NC 27406-8213 · (336) 404-9023
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateAugust 18, 2020
NPPES CertifiedAugust 18, 2020
NPI 1922610328 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in NC · 0010-10336
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

9915 PARK CEDAR DR, Charlotte, NC 28210

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

Timothy Devin Kallam Pa-c 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 ID8729494760
PECOS Enrollment IDI20210317000387
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28210 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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.

Pharmacy
9915 PARK CEDAR DR
CHARLOTTE, NC 28210
Pharmacist
9915 PARK CEDAR DR
CHARLOTTE, NC 28210
Pharmacist
9915 PARK CEDAR DR
CHARLOTTE, NC 28210
Pharmacist
9915 PARK CEDAR DR
CHARLOTTE, NC 28210
Pharmacist
9915 PARK CEDAR DR
CHARLOTTE, NC 28210
Pharmacist
9915 PARK CEDAR DR
CHARLOTTE, NC 28210
Nurse Practitioner (Family)
9915 PARK CEDAR DR
CHARLOTTE, NC 28210
Nurse Practitioner (Family)
9915 PARK CEDAR DR
CHARLOTTE, NC 28210

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 Timothy Kallam's NPI number?

The NPI number for Timothy Kallam is 1922610328. It was assigned to this individual provider in the NPPES registry on August 18, 2020.

Where is Timothy Kallam located?

Timothy Kallam practices at 9915 Park Cedar Dr, Charlotte, NC 28210. The listed phone number is (704) 544-3263.

What is Timothy Kallam's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Timothy Kallam enrolled in Medicare?

Yes. Timothy Kallam 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.

When was this NPI record last updated?

The NPPES record for Timothy Kallam was last updated on August 18, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.