Jamal M Kalala (NPI# 1114931409, PAC ID# 6800965567) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1114931409 |
| PAC ID by PECOS | 6800965567 |
| Professional Enrollment ID | I20080521000087 |
| Full Name | Jamal M Kalala |
| Organization Legal Name | STATESVILLE HMA MEDICAL GROUP LLC |
| Address |
1410 Fern Creek Dr Statesville NC 28625-9376 |
| Phone Number | 7049782379 |
| Gender | M |
| Graduation Year | 1982 |
| Primary Specialty | INTERNAL MEDICINE |
| Secondary Specialties | FAMILY MEDICINE, NEPHROLOGY |
| Group Practice PAC ID | 4082756085 |
| Number of Group Practice Members | 21 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 340144 | DAVIS REGIONAL MEDICAL CENTER |
| 340039 | IREDELL MEMORIAL HOSPITAL INC |
| 340116 | FRYE REGIONAL MEDICAL CENTER |
| 340143 | CATAWBA VALLEY MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1410 Fern Creek Dr, Statesville, NC 28625-9376 | 7049782379 | STATESVILLE HMA MEDICAL GROUP LLC |
| 1414 Fern Creek Dr, Statesville, NC 28625-9376 | STATESVILLE HMA MEDICAL GROUP LLC | |
| 1418 Fern Creek Dr, Statesville, NC 28625-9376 | 7049782250 | STATESVILLE HMA MEDICAL GROUP LLC |
| 1424 Fern Creek Dr, Statesville, NC 28625-9376 | STATESVILLE HMA MEDICAL GROUP LLC | |
| 1446 Fern Creek Dr, Statesville, NC 28625-9376 | 7049782820 | STATESVILLE HMA MEDICAL GROUP LLC |
| 555 Kitchings Dr, Statesville, NC 28677-3576 | 7048727294 | STATESVILLE HMA MEDICAL GROUP LLC |
| 241 Nc Hwy 16 S, Taylorsville, NC 28681-3048 | 8286321234 | STATESVILLE HMA MEDICAL GROUP LLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_128_overall | Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan | 100% | |
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 100% | |
| MIPS_EC_226_overall | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 100% |
| Organization Legal Name | STATESVILLE HMA MEDICAL GROUP LLC |
| Physicians | 19 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Santhosh Reddy Devarapally | Cardiovascular Disease (cardiology) | Statesville Hma Medical Group LLC | 1424 Fern Creek Dr, D, Statesville, NC 28625-9376 |
| Thomas E Goodin | Nurse Practitioner | Statesville Hma Medical Group LLC | 1414 Fern Creek Dr, Suite A, Statesville, NC 28625-9376 |
| Henry Walters | Internal Medicine | Statesville Hma Medical Group LLC | 340 Signal Hill Dr, Suite A, Statesville, NC 28625-4483 |
| Dale Rader | Orthopedic Surgery | Statesville Hma Medical Group LLC | 218 Old Mocksville Rd, Statesville, NC 28625-1930 |
| Shawn M Okeefe | Physician Assistant | Statesville Hma Medical Group LLC | 218 Old Mocksville Rd, Statesville, NC 28625-1930 |
| David V Keller Ii | Physician Assistant | Statesville Hma Medical Group LLC | 1410 Fern Creek Dr, Statesville, NC 28625-9376 |
| Andrew Venters Owens | Psychiatry | Statesville Hma Medical Group LLC | 218 Old Mocksville Rd, Statesville, NC 28625-1930 |
| Stephen Mcneil Coarsey | Obstetrics/gynecology | Statesville Hma Medical Group LLC | 154 S Main St, Troutman, NC 28166-0200 |
| Robert D Swedlund | Physician Assistant | Statesville Hma Medical Group LLC | 1410 Fern Creek Dr, Statesville, NC 28625-9376 |
| John J Allan | Cardiovascular Disease (cardiology) | Statesville Hma Medical Group LLC | 146 Medical Park Rd, Suite 202, Mooresville, NC 28117-8529 |
| Street Address |
1410 FERN CREEK DR |
| City | STATESVILLE |
| State | NC |
| Zip | 28625-9376 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David V Keller Ii | Physician Assistant | Statesville Hma Medical Group LLC | 1410 Fern Creek Dr, Statesville, NC 28625-9376 |
| Robert D Swedlund | Physician Assistant | Statesville Hma Medical Group LLC | 1410 Fern Creek Dr, Statesville, NC 28625-9376 |
| Krystal M Coleman | Nurse Practitioner | Statesville Hma Medical Group LLC | 1410 Fern Creek Dr, Statesville, NC 28625-9376 |
| David L Zahm | Physician Assistant | Statesville Hma Medical Group LLC | 1410 Fern Creek Dr, Statesville, NC 28625-9376 |
| Twilla M Walker | Nurse Practitioner | Statesville Hma Medical Group LLC | 1410 Fern Creek Dr, Statesville, NC 28625-9376 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mary Hansen | Nurse Practitioner | Piedmont Healthcare Pa | 138 Sherlock Dr, Statesville, NC 28625-1916 |
| Raj K Joshi | Internal Medicine | Piedmont Healthcare Pa | 129 Sherlock Dr, Statesville, NC 28625-1916 |
| Stephen B Scheibner | Dermatology | Piedmont Healthcare Pa | 152 Sherlock Dr, Statesville, NC 28625-1916 |
| Cynthia L Mitchell | Physician Assistant | Piedmont Healthcare Pa | 129 Sherlock Dr, Statesville, NC 28625-1916 |
| Mahendra Narendran | Internal Medicine | Piedmont Healthcare Pa | 138 Sherlock Dr, Statesville, NC 28625-1916 |
| Mary Ann Mchenry | Nurse Practitioner | Piedmont Healthcare Pa | 138 Sherlock Dr, Statesville, NC 28625-1916 |
| Melody L Moore | Nurse Practitioner | Piedmont Healthcare Pa | 138 Sherlock Dr, Statesville, NC 28625-1916 |
| Roger Amal Roshan Hatharasinghe | Internal Medicine | Piedmont Healthcare Pa | 138 Sherlock Dr, Statesville, NC 28625-1916 |
| Dana Felts | Physician Assistant | Piedmont Healthcare Pa | 129 Sherlock Dr, Statesville, NC 28625-1916 |
| Steven C Merrill | Family Medicine | Piedmont Healthcare Pa | 129 Sherlock Dr, Statesville, NC 28625-1916 |
| Find all physicians in zip 28625 | |||
| City | STATESVILLE |
| Zip Code | 28625 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | STATESVILLE + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Jamal M Kalala.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.