DR. EVELYNE KALYOUSSEF (MD) – Otolaryngology Physician, NPI 1053516765

DR. EVELYNE KALYOUSSEF (MD) is a healthcare provider. based in Newark, New Jersey. specializing in OTOLARYNGOLOGY. They hold the professional credentials MD. They hold a License No. 25MA09150700 (NJ). The NPI Number for DR. EVELYNE KALYOUSSEF (MD) is 1053516765

Main info

Female
19 Years Of Experience
Accepts Medicare Assignment
Name
DR. EVELYNE KALYOUSSEF (MD)
NPI
1053516765
Phone
(973) 972-4588
Address
90 BERGEN STREET
Enumeration Date
21 June 2007
Last Update Date
12 September 2012

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9739720037
Graduation Year
2007 (19 years ago)
PAC ID
7618125550
Group Practice PAC ID
9830003417
Professional Enrollment ID
I20120918000377
Address ID
NJ071073000NE30XXXSTXX319
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:18State licenses:1Digital endpointsOther names

322 OTOLARYNGOLOGY in NJ

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Provider Addresses for DR. EVELYNE KALYOUSSEF (MD)

  • 90, Bergen Street, University Heights, Newark, Essex County, New Jersey, 07103, United States

    SUITE8100

    NEWARK, NJ 07103

    Phone: (973) 972-4588

    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 6 Open Payments records for all available years, with a total value of $661.

Total Amount is formed as General ($661) + Research ($0) + Ownership ($0) = $661.

Last reported payment date: 2024-08-14 • Largest payer in this snapshot: Inspire Medical Systems, Inc. ($232).

Total Amount

$661

General + Research + Ownership

Payments

6

Total payment records

General Amount

$661

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-14

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: 2012-09-18

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
I20120918000377IOtolaryngologyNJTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes1611$0
99214Established patient office or other outpatient visit, 30-39 minutes1612$0
99204New patient office or other outpatient visit, 45-59 minutes1212$0
View full utilization report →

Insurance plans in this area (ZIP 07103)

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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: 9830003417View full group profile
NameSpecialtyState
-NJ
-NJ
Nephrology, Internal MedicineNJ
Interventional Radiology, Diagnostic RadiologyNJ
General SurgeryNJ
Vascular Surgery, General SurgeryNJ
P A T H O L O G YNY
Internal MedicineNJ
-NJ
Interventional Pain Management, AnesthesiologyNJ

Reviews

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Frequently asked questions

What federal number belongs to DR. EVELYNE KALYOUSSEF (MD)?
The federal identifier for DR. EVELYNE KALYOUSSEF (MD) is NPI 1053516765.
Does this profile mean DR. EVELYNE KALYOUSSEF (MD) is currently active?
Yes — DR. EVELYNE KALYOUSSEF (MD) appears active in the national provider directory.
Does DR. EVELYNE KALYOUSSEF (MD) list a primary specialty?
If you are matching referrals, note Otolaryngology Physician for DR. EVELYNE KALYOUSSEF (MD). Clinical services aligned with this taxonomy classification.
Where does public data place DR. EVELYNE KALYOUSSEF (MD)?
The snapshot lists Newark, New Jersey for DR. EVELYNE KALYOUSSEF (MD); download NPPES for the complete set.
Is DR. EVELYNE KALYOUSSEF (MD) a real provider?
This page reflects official NPPES data for NPI 1053516765. Always confirm identity and privileges with the practice and licensing boards.

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