ENIAN KALLAMATA (OD, MS) – Optometrist, NPI 1700498672

ENIAN KALLAMATA (OD, MS) is a healthcare provider. based in Boston, Massachusetts. specializing in OPTOMETRY. They hold the professional credentials OD, MS. They hold a License No. 5418 (MA). The NPI Number for ENIAN KALLAMATA (OD, MS) is 1700498672

Main info

Male
6 Years Of Experience
Accepts Medicare Assignment
Name
ENIAN KALLAMATA (OD, MS)
NPI
1700498672
Phone
(857) 492-6188
Address
5 BLUE JAY CIR
Enumeration Date
20 August 2020
Last Update Date
20 August 2020

Doctor Profile

Medical School Name
NEW ENGLAND COLLEGE OF OPTOMETRY
Secondary Phone
7813935367
Graduation Year
2020 (6 years ago)
PAC ID
6800216045
Group Practice PAC ID
0143545160
Professional Enrollment ID
I20201207000538
Address ID
MA021555192ME63XXXLNDG300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:5State licenses:1Digital endpointsOther names

1,116 OPTOMETRY in MA

Provider Addresses for ENIAN KALLAMATA (OD, MS)

  • 5 BLUE JAY CIR

    BOSTON, MA 021261994

    Phone: (857) 492-6188

    Type: Mailing

  • 63 STATION LNDG

    MEDFORD, MA 021555192

    Phone: (781) 393-5367

    Fax: (617) 453-5757

    Type: Location

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 $301.

Total Amount is formed as General ($301) + Research ($0) + Ownership ($0) = $301.

Last reported payment date: 2024-12-20 • Largest payer in this snapshot: Alcon Vision LLC ($146).

Total Amount

$301

General + Research + Ownership

Payments

3

Total payment records

General Amount

$301

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-20

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: 2020-12-07

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
I20201207000538IOptometryMATBD

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
99204New patient office or other outpatient visit, 45-59 minutes3939$0
99214Established patient office or other outpatient visit, 30-39 minutes3927$0
View full utilization report →

Insurance plans in this area (ZIP 02126)

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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: 0143545160View full group profile
NameSpecialtyState
O P T O M E T R YMA
O P T O M E T R YMA
O P T O M E T R YMA

Reviews

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Frequently asked questions

What is the 10-digit NPI for ENIAN KALLAMATA (OD, MS)?
ENIAN KALLAMATA (OD, MS) — NPI 1700498672 — is the standard way to identify this listing.
Is ENIAN KALLAMATA (OD, MS) still practicing?
ENIAN KALLAMATA (OD, MS) is currently listed as active in the public NPI registry.
What taxonomy line describes ENIAN KALLAMATA (OD, MS)?
For research purposes, treat ENIAN KALLAMATA (OD, MS) as Optometrist in this dataset. Clinical services aligned with this taxonomy classification.
Where is ENIAN KALLAMATA (OD, MS) based?
ENIAN KALLAMATA (OD, MS) is tied to Boston, Massachusetts in the data we show; additional addresses may exist on the full record.
Why does ENIAN KALLAMATA (OD, MS) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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