DR. KALUB ALEXANDER FEDAK (M.D.) – Hematology & Oncology Physician, NPI 1225353139

DR. KALUB ALEXANDER FEDAK (M.D.) is a healthcare provider. based in Petoskey, Michigan. specializing in HEMATOLOGY/ONCOLOGY. They hold the professional credentials M.D.. They hold a License No. 4301104179 (MI). The NPI Number for DR. KALUB ALEXANDER FEDAK (M.D.) is 1225353139

Main info

Male
16 Years Of Experience
Accepts Medicare Assignment
Name
DR. KALUB ALEXANDER FEDAK (M.D.)
NPI
1225353139
Phone
(231) 487-3390
Address
560 W MITCHELL ST STE 185
Enumeration Date
2 April 2010
Last Update Date
7 September 2023

Doctor Profile

Medical School Name
MICHIGAN STATE UNIVERSITY COLLEGE OF HUMAN MEDICINE
Secondary Phone
2314874000
Graduation Year
2010 (16 years ago)
PAC ID
1850527375
Group Practice PAC ID
9931018181
Professional Enrollment ID
I20131111001439
Address ID
MI497702212PE416XXAVEX300
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience61
Completeness75
Years active:16State licenses:1Digital endpointsOther names

476 HEMATOLOGY/ONCOLOGY in MI

Provider Addresses for DR. KALUB ALEXANDER FEDAK (M.D.)

  • 560 W MITCHELL ST STE 185

    PETOSKEY, MI 497702296

    Phone: (231) 487-3390

    Fax: (314) 873-5782

    Type: Mailing

  • Aroma's Coffee & Tea, 10850, East Traverse Highway, Traverse City, Leelanau County, Michigan, 49684, United States

    STE 4400

    TRAVERSE CITY, MI 496841364

    Phone: (231) 346-6800

    Fax: (231) 346-6096

    Type: Mailing

  • Munson Medical Center, 1105, Sixth Street, Grand Traverse Commons, Traverse City, Grand Traverse County, Michigan, 49684, United States

    TRAVERSE CITY, MI 496842349

    Phone: (231) 935-5800

    Fax: (231) 935-5885

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 32 Open Payments records for all available years, with a total value of $950.

Total Amount is formed as General ($950) + Research ($0) + Ownership ($0) = $950.

Last reported payment date: 2024-12-11 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($398).

Total Amount

$950

General + Research + Ownership

Payments

32

Total payment records

General Amount

$950

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-11

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: 2013-11-11

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
I20131111001439IHematology/OncologyMITBD

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
99214Established patient office or other outpatient visit, 30-39 minutes9249$0
99215Established patient office or other outpatient visit, 40-54 minutes1915$0
99205New patient office or other outpatient visit, 60-74 minutes1313$0
View full utilization report →

Insurance plans in this area (ZIP 49770)

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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: 9931018181View full group profile
NameSpecialtyState
Interventional Cardiology, Cardiovascular Disease (Cardiology), Internal Medicine, Cardiovascular Disease (Cardiology)VA
Thoracic Surgery, Cardiac SurgeryMI
N E U R O L O G YMI
Physical Medicine And RehabilitationMI
Hospitalist, Internal MedicineMI
-MI
P S Y C H I A T R YOH
Internal Medicine, Geriatric MedicineMI
Sleep Medicine, Critical Care (Intensivists), Pulmonary DiseaseMI
Physician AssistantMI

Reviews

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Frequently asked questions

Does DR. KALUB ALEXANDER FEDAK (M.D.) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — DR. KALUB ALEXANDER FEDAK (M.D.) uses 1225353139.
Can I rely on DR. KALUB ALEXANDER FEDAK (M.D.) being an active provider?
As of the registry snapshot, DR. KALUB ALEXANDER FEDAK (M.D.) is marked active.
What is DR. KALUB ALEXANDER FEDAK (M.D.)'s specialty?
The listing groups DR. KALUB ALEXANDER FEDAK (M.D.) with Hematology & Oncology Physician. Clinical services aligned with this taxonomy classification.
What area does DR. KALUB ALEXANDER FEDAK (M.D.) serve?
DR. KALUB ALEXANDER FEDAK (M.D.)'s listing highlights Petoskey, Michigan; more addresses can appear in NPPES.
How many locations tie to this NPI?
4 practice locations appear in the available data.

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