KAMAL REZA TALUKDER (MD) – Pediatrics Physician, NPI 1154316289

KAMAL REZA TALUKDER (MD) is a healthcare provider. based in Galena, Ohio. specializing in PEDIATRIC MEDICINE. They hold the professional credentials MD. They hold a License No. 35-07-1563-T (OH). The NPI Number for KAMAL REZA TALUKDER (MD) is 1154316289

Main info

Male
46 Years Of Experience
Accepts Medicare Assignment
Name
KAMAL REZA TALUKDER (MD)
NPI
1154316289
Phone
(740) 397-6020
Address
6618 MAHOGANY DR
Enumeration Date
14 September 2005
Last Update Date
9 March 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6145050778
Graduation Year
1980 (46 years ago)
PAC ID
2769635705
Group Practice PAC ID
5092980730
Professional Enrollment ID
I20121226000415
Address ID
OH432402004CO1085XPKWY300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,709 PEDIATRIC MEDICINE in OH

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Provider Addresses for KAMAL REZA TALUKDER (MD)

  • 6618 MAHOGANY DR

    GALENA, OH 430218055

    Phone: (740) 397-6020

    Type: Mailing

  • Yauger Road, Mount Vernon, Monroe Township, Knox County, Ohio, 43050, United States

    SUITE 1D

    MOUNT VERNON, OH 430508099

    Phone: (740) 392-4453

    Fax: (740) 392-8619

    Type: Location

  • 1330 COSHOCTON AVE

    MOUNT VERNON, OH 43050

    Phone: (740) 393-9000

    Fax: (740) 392-0167

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $15.

Total Amount is formed as General ($15) + Research ($0) + Ownership ($0) = $15.

Last reported payment date: 2023-05-16 • Largest payer in this snapshot: SANOFI PASTEUR INC. ($15).

Total Amount

$15

General + Research + Ownership

Payments

1

Total payment records

General Amount

$15

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-05-16

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
SANOFI PASTEUR INC.$15
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: 2012-12-26

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
I20121226000415IPediatric MedicineOHTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 43021)

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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: 5092980730View full group profile

Reviews

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Frequently asked questions

Can I cross-check KAMAL REZA TALUKDER (MD) using NPI 1154316289?
NPI 1154316289 belongs to KAMAL REZA TALUKDER (MD); compare other details if you need extra assurance.
Would KAMAL REZA TALUKDER (MD) appear as active to a payer?
You can treat KAMAL REZA TALUKDER (MD) as active for directory purposes; confirm clinical privileges separately.
What area of care is associated with KAMAL REZA TALUKDER (MD)?
KAMAL REZA TALUKDER (MD)'s record emphasizes Pediatrics Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with KAMAL REZA TALUKDER (MD)?
Directory geography for KAMAL REZA TALUKDER (MD) centers on Galena, Ohio.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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