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KALLISTA KAMBEROS DO
NPI 1932776101
Family Medicine in Ottawa, IL

Active since June 07, 2021PECOS EnrolledAccepts Medicare Assignment
1614 E NORRIS DR, OTTAWA, IL 61350(815) 433-1010(815) 433-0067 Get Directions Write a Review

NPPES record last updated: July 15, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 15, 2024, Jun 7, 2021 (2 updates tracked since 2021).

About Kallista Kamberos Do NPPES

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

KALLISTA KAMBEROS DO (NPI 1932776101) is an individual family medicine provider in Ottawa, Illinois, licensed in Illinois (036167538) and active in the NPI registry since June 2021. She is enrolled in Medicare PECOS, is affiliated with Saint Francis Medical Center, and is a graduate of Edward Via Col Of Osteo Medicine-carolinas Campus (2021).

NPPES Registry Identity

NPI1932776101
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameKALLISTA KAMBEROSCredential: DO
Location Address1614 E NORRIS DROttawa, IL 61350-3681
Mailing Address1614 E Norris DrOttawa, IL 61350-3681 · (815) 433-1010 · Fax (815) 433-0067
Phone(815) 433-1010
Fax(815) 433-0067
Sole ProprietorNo
Medical School CMSEdward Via Col Of Osteo Medicine-carolinas CampusGraduated 2021
Enumeration DateJune 7, 2021
Last NPPES UpdateJuly 15, 20242 updates tracked since enumeration
NPPES CertifiedJuly 15, 2024
✔ NPI 1932776101 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in IL · 036167538
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1614 E NORRIS DR, Ottawa, IL 61350
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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

Kallista Kamberos Do 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 ID6608279237
PECOS Enrollment IDI20240725002235
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.

Hospital Affiliations CMS Care Compare 3

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

Saint Francis Medical Center

Acute Care Hospitals · Peoria, IL
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140067
Location530 NE Glen Oak AvePeoria, IL 61637 · Peoria County
Emergency services Birthing friendly

Osf Saint Elizabeth Mdl Ctr

Acute Care Hospitals · Ottawa, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140110
Location1100 E Norris DriveOttawa, IL 61350 · La Salle County
Emergency services Birthing friendly

Saint James Hospital

Acute Care Hospitals · Pontiac, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140161
Location2500 West Reynolds StreetPontiac, IL 61764 · Livingston County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61350 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
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 20

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

DR. RAUL V GUERRERO MD
Internal Medicine
1614 E NORRIS DR
OTTAWA, IL 61350
Lasalle County (815) 433-1010
OTTAWA REGIONAL MEDICAL CENTER INC.
Internal Medicine
1614 E NORRIS DR
OTTAWA, IL 61350
Lasalle County (815) 433-1010
OTTAWA MEDICAL CENTER, PC
Clinic/Center (Multi-Specialty)
1614 E NORRIS DR
OTTAWA, IL 61350
Lasalle County (815) 433-1010
OTTAWA REGIONAL HOSPITAL & HEALTHCARE CENTER
Clinic/Center (Rural Health)
1614 E NORRIS DR
OTTAWA, IL 61350
Lasalle County (815) 433-1010
DR. DAVID O MANIGOLD MD
Internal Medicine
1614 E NORRIS DR
OTTAWA, IL 61350
Lasalle County (815) 433-1010
GUEORGUI S GUEORGUIEV M.D.
Family Medicine
1614 E NORRIS DR
OTTAWA, IL 61350
Lasalle County (815) 433-1010
DR. ADRIANA P DUMITRESCU MD
Family Medicine
1614 E NORRIS DR
OTTAWA, IL 61350
Lasalle County (815) 433-1010
CHENGLU LIU M.D.
Surgery
1614 E NORRIS DR, SUITE 2B
OTTAWA, IL 61350
Lasalle County (815) 433-1010

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 Kallista Kamberos's NPI number?

The NPI number for Kallista Kamberos is 1932776101. It was assigned to this individual provider in the NPPES registry on June 7, 2021.

Where is Kallista Kamberos located?

Kallista Kamberos practices at 1614 E Norris Dr, Ottawa, IL 61350. The listed phone number is (815) 433-1010.

What is Kallista Kamberos's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Kallista Kamberos enrolled in Medicare?

Yes. Kallista Kamberos 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 Kallista Kamberos affiliated with any hospitals?

According to CMS data, Kallista Kamberos is affiliated with Saint Francis Medical Center, Osf Saint Elizabeth Mdl Ctr and Saint James Hospital.

When was this NPI record last updated?

The NPPES record for Kallista Kamberos was last updated on July 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.