DR. STANLEY RICHARD KALISH (DPM) – Foot & Ankle Surgery Podiatrist, NPI 1811994379

DR. STANLEY RICHARD KALISH (DPM) is a healthcare provider. based in Jonesboro, Georgia. specializing in PODIATRY. They hold the professional credentials DPM. They hold a License No. 000382 (GA). The NPI Number for DR. STANLEY RICHARD KALISH (DPM) is 1811994379

Main info

Male
Sole Proprietor
55 Years Of Experience
Accepts Medicare Assignment
Name
DR. STANLEY RICHARD KALISH (DPM)
NPI
1811994379
Phone
(770) 477-9535
Address
6911 TARA BLVD
Enumeration Date
30 June 2005
Last Update Date
1 December 2009

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7704876716
Graduation Year
1971 (55 years ago)
PAC ID
3779572763
Group Practice PAC ID
8022295294
Professional Enrollment ID
I20040507000897
Address ID
GA302694794PE1975XWXXX466
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

432 PODIATRY in GA

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Provider Addresses for DR. STANLEY RICHARD KALISH (DPM)

  • Tara Boulevard, Jonesboro, Clayton County, Georgia, 30250, United States

    JONESBORO, GA 302361503

    Phone: (770) 477-9535

    Fax: (770) 471-7826

    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 5 Open Payments records for all available years, with a total value of $240.

Total Amount is formed as General ($240) + Research ($0) + Ownership ($0) = $240.

Last reported payment date: 2024-11-21 • Largest payer in this snapshot: Medtronic, Inc. ($117).

Total Amount

$240

General + Research + Ownership

Payments

5

Total payment records

General Amount

$240

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-21

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: 2004-05-07

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
I20040507000897IPodiatryGATBD

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
J1100Injection, dexamethasone sodium phosphate, 1 mg68140$0
99214Established patient office or other outpatient visit, 30-39 minutes396102$0
J3420Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg23045$0
64455Injection of anesthetic and/or steroid drug into foot nerve18443$0
11721Removal of fingernails or toenails, 6 or more nails9659$0
View full utilization report →

Insurance plans in this area (ZIP 30236)

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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: 8022295294View full group profile

Reviews

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Frequently asked questions

How is DR. STANLEY RICHARD KALISH (DPM) identified in CMS data?
CMS-hosted NPPES data lists DR. STANLEY RICHARD KALISH (DPM) with NPI 1811994379.
Does the file indicate DR. STANLEY RICHARD KALISH (DPM) is practicing under active NPI?
Directory data currently reports DR. STANLEY RICHARD KALISH (DPM) as active.
What is DR. STANLEY RICHARD KALISH (DPM) best known for clinically?
Directory data describes DR. STANLEY RICHARD KALISH (DPM) with Foot & Ankle Surgery Podiatrist. Clinical services aligned with this taxonomy classification.
What address line appears for DR. STANLEY RICHARD KALISH (DPM)?
DR. STANLEY RICHARD KALISH (DPM)'s geographic hint is Jonesboro, Georgia in our summary view.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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