DAVID PHILIP KALLILE (M.D.) – Anesthesiology Physician, NPI 1053722322

DAVID PHILIP KALLILE (M.D.) is a healthcare provider. based in Mansfield, Ohio. specializing in ANESTHESIOLOGY. They hold the professional credentials M.D.. They hold a License No. 35.133336 (OH). The NPI Number for DAVID PHILIP KALLILE (M.D.) is 1053722322

Main info

Male
12 Years Of Experience
Accepts Medicare Assignment
Name
DAVID PHILIP KALLILE (M.D.)
NPI
1053722322
Phone
(419) 756-5133
Address
799 LEXINGTON AVE
Enumeration Date
8 May 2014
Last Update Date
15 January 2019

Doctor Profile

Medical School Name
OHIO STATE UNIVERSITY COLLEGE OF MEDICINE
Secondary Phone
4195268000
Graduation Year
2014 (12 years ago)
PAC ID
4183925068
Group Practice PAC ID
3870486624
Professional Enrollment ID
I20180809005925
Address ID
OH449032269MA335XXAVEX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness75
Years active:12State licenses:1Digital endpointsOther names

2,268 ANESTHESIOLOGY in OH

Provider Addresses for DAVID PHILIP KALLILE (M.D.)

  • 799 LEXINGTON AVE

    MANSFIELD, OH 449071906

    Phone: (419) 756-5133

    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 7 Open Payments records for all available years, with a total value of $137.

Total Amount is formed as General ($137) + Research ($0) + Ownership ($0) = $137.

Last reported payment date: 2024-11-20 • Largest payer in this snapshot: Mindray DS USA, Inc. ($75).

Total Amount

$137

General + Research + Ownership

Payments

7

Total payment records

General Amount

$137

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-20

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: 2018-08-09

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
I20180809005925IAnesthesiologyOHTBD

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
00811Anesthesia for other procedure on large bowel using an endoscope2424$0
36620Insertion of artery tube for blood sampling or infusion through skin2120$0
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope1515$0
76942Ultrasonic guidance for needle placement1513$0
View full utilization report →

Insurance plans in this area (ZIP 44907)

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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: 3870486624View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)OH
Certified Registered Nurse Anesthetist (Crna)OH
Certified Registered Nurse Anesthetist (Crna)OH
A N E S T H E S I O L O G YKY
Anesthesiology AssistantOH
A N E S T H E S I O L O G YOH
Certified Registered Nurse Anesthetist (Crna)OH
Anesthesiology AssistantOH
Certified Registered Nurse Anesthetist (Crna)OH
Certified Registered Nurse Anesthetist (Crna)OH

Reviews

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Frequently asked questions

What unique ID ties claims to DAVID PHILIP KALLILE (M.D.)?
NPI 1053722322 is assigned to DAVID PHILIP KALLILE (M.D.) under the national enumeration system.
Is DAVID PHILIP KALLILE (M.D.) currently active in the NPI registry?
CMS-published data lists DAVID PHILIP KALLILE (M.D.) as an active registrant.
Can you summarize DAVID PHILIP KALLILE (M.D.)'s specialty in plain language?
Clinically, the directory lists DAVID PHILIP KALLILE (M.D.) with Anesthesiology Physician. Clinical services aligned with this taxonomy classification.
What location metadata exists for DAVID PHILIP KALLILE (M.D.)?
The page summarizes Mansfield, Ohio for DAVID PHILIP KALLILE (M.D.); expand the address list for detail.
Is DAVID PHILIP KALLILE (M.D.) a real provider?
This page reflects official NPPES data for NPI 1053722322. Always confirm identity and privileges with the practice and licensing boards.

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