PAUL S. KELLERMAN MD – NPI #1497721401
Internal Medicine

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

PAUL KELLERMAN is a physician located in ROYAL OAK, MI. NPPES has assigned the NPI number 1497721401 to PAUL KELLERMAN on February 28, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 207RN0300X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Nephrology

The NPI profile was last updated on Oct 15, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for PAUL KELLERMAN below.

NPI Profile for
PAUL S. KELLERMAN

NPI Number
1497721401
Enumeration Date

(more than 20 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
PAUL S. KELLERMAN
Credentials
MD
Primary location
3535 W 13 MILE RD STE 248
BEAUMONT CHRONIC DISEASE MANAGEMENT CLINIC
ROYAL OAK, MI 48073-6770
Phone: (248) 551-1515 Fax: (248) 551-1516
Mailing address
130 TOWN CENTER DR STE 203
BEAUMONT MEDICAL STAFF AFFAIRS
TROY, MI 48084-1744
Phone: Fax:
Sole Proprietor
No
Updated
Certification Date
Aug 15, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RN0300X
- Internal Medicine / Nephrology (Primary)
WI 45019

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

Endpoint
https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq
Endpoint type
SOAP URL
Endpoint Description
CAREQUALITY
Content Type
OTHER
Affiliation
Y
Endpoint Location
9961 SIERRA AVE,
FONTANA, CA 77025-1669