DR. MARC RYAN KALIS (M.D.) – Diagnostic Radiology Physician, NPI 1477754349

DR. MARC RYAN KALIS (M.D.) is a healthcare provider. based in Miami, Florida. specializing in DIAGNOSTIC RADIOLOGY. They hold the professional credentials M.D.. They hold a License No. ME101019 (FL). The NPI Number for DR. MARC RYAN KALIS (M.D.) is 1477754349

Main info

Male
22 Years Of Experience
Accepts Medicare Assignment
Name
DR. MARC RYAN KALIS (M.D.)
NPI
1477754349
Phone
(305) 585-7500
Address
1611 NW 12TH AVE
Enumeration Date
30 May 2007
Last Update Date
20 December 2016

Doctor Profile

Medical School Name
GEORGE WASHINGTON UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
9542676650
Graduation Year
2004 (22 years ago)
PAC ID
8123170974
Group Practice PAC ID
7618869900
Professional Enrollment ID
I20090709000166
Address ID
FL333084603FO4725XHWYX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

3,168 DIAGNOSTIC RADIOLOGY in FL

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Provider Addresses for DR. MARC RYAN KALIS (M.D.)

  • Jackson Memorial Hospital, 1611, Northwest 12th Avenue, Miami, Miami-Dade County, Florida, 33136, United States

    MIAMI, FL 331361005

    Phone: (305) 585-7500

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $187.

Total Amount is formed as General ($187) + Research ($0) + Ownership ($0) = $187.

Last reported payment date: 2024-11-04 • Largest payer in this snapshot: HeartFlow, Inc. ($174).

Total Amount

$187

General + Research + Ownership

Payments

3

Total payment records

General Amount

$187

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-04

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2009-07-09

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20090709000166IDiagnostic RadiologyFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
70450Ct scan head or brain without contrast353333$0
71045X-ray of chest, 1 view300286$0
77067Screening mammography286286$0
77063Screening 3d breast mammography286286$0
72125Ct scan of upper spine without contrast140138$0
View full utilization report →

Insurance plans in this area (ZIP 33136)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7618869900View full group profile
NameSpecialtyState
Diagnostic RadiologyOH
Diagnostic RadiologyFL
Diagnostic RadiologyFL
Diagnostic RadiologyWA
Diagnostic RadiologyWA
Diagnostic RadiologyFL
Diagnostic RadiologyFL
Diagnostic RadiologyMA
Diagnostic RadiologyMN
Diagnostic RadiologyMN

Reviews

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Frequently asked questions

Can I cross-check DR. MARC RYAN KALIS (M.D.) using NPI 1477754349?
NPI 1477754349 belongs to DR. MARC RYAN KALIS (M.D.); compare other details if you need extra assurance.
Would DR. MARC RYAN KALIS (M.D.) appear as active to a payer?
You can treat DR. MARC RYAN KALIS (M.D.) as active for directory purposes; confirm clinical privileges separately.
What area of care is associated with DR. MARC RYAN KALIS (M.D.)?
DR. MARC RYAN KALIS (M.D.)'s record emphasizes Diagnostic Radiology Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with DR. MARC RYAN KALIS (M.D.)?
Directory geography for DR. MARC RYAN KALIS (M.D.) centers on Miami, Florida.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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