KALI A BROUSSARD (MD) – Pediatric Infectious Diseases Physician, NPI 1023549409

KALI A BROUSSARD (MD) is a healthcare provider. based in Canal winchester, Ohio. specializing in Pediatric Infectious Diseases Physician. They hold the professional credentials MD. They hold a License No. 338039 (LA). The NPI Number for KALI A BROUSSARD (MD) is 1023549409

Main info

Female
Name
KALI A BROUSSARD (MD)
NPI
1023549409
Phone
(614) 355-9050
Address
7901 Diley Rd Ste 150
Enumeration Date
27 March 2017
Last Update Date
24 July 2023
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience61
Completeness75
Years active:9State licenses:2Digital endpointsOther names

Provider Addresses for KALI A BROUSSARD (MD)

  • 7901 Diley Rd Ste 150

    Canal Winchester, OH 431109613

    Phone: (614) 355-9050

    Type: Location

  • 700 Childrens Dr

    Columbus, OH 432052664

    Phone: (614) 722-2000

    Type: Location

  • 8200 Constantin Blvd Fl 4

    Baton Rouge, LA 708093481

    Phone: (225) 765-5500

    Fax: (225) 765-1202

    Type: Location

  • 9504 LA HWY 696

    ABBEVILLE, LA 705104381

    Phone: (337) 322-6179

    Type: Mailing

  • 4363 All Seasons Dr Ste 100

    Hilliard, OH 430262050

    Phone: (614) 355-5900

    Type: Location

  • 433 N Cleveland Ave

    Westerville, OH 430828095

    Phone: (614) 355-8300

    Type: Location

  • 7450 Hospital Dr Ste 100

    Dublin, OH 430168364

    Phone: (614) 355-7000

    Type: Location

  • 6435 E Broad St

    Columbus, OH 432131507

    Phone: (614) 355-8100

    Type: Location

  • 100 Colemans Xing

    Marysville, OH 430407080

    Phone: (937) 578-7600

    Type: Location

  • 5959 S SHERWOOD FOREST BLVD

    BATON ROUGE, LA 708166038

    Phone: (337) 470-3131

    Fax: (225) 765-9196

    Type: Mailing

  • 9610 MAURICE AVE

    MAURICE, LA 705553255

    Phone: (337) 470-3131

    Fax: (337) 470-3315

    Type: Location

  • Arkansas Children's Hospital, 1, Children's Way, Little Rock, Pulaski County, Arkansas, 72202, United States

    SLOT 512-19A

    LITTLE ROCK, AR 722023500

    Phone: (501) 364-1100

    Type: Location

  • 700 CHILDRENS DR

    COLUMBUS, OH 432052664

    Phone: (614) 722-2000

    Type: Mailing

  • 4363 ALL SEASONS DR STE 100

    HILLIARD, OH 430262050

    Phone: (614) 355-5900

    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 $48.

Total Amount is formed as General ($48) + Research ($0) + Ownership ($0) = $48.

Last reported payment date: 2023-12-21 • Largest payer in this snapshot: Corium, LLC ($48).

Total Amount

$48

General + Research + Ownership

Payments

3

Total payment records

General Amount

$48

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-12-21

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Corium, LLC$48
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: 2023-08-07

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
I20230807002008IPediatric MedicineLATBD

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 43110)

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Reviews

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Frequently asked questions

Does KALI A BROUSSARD (MD) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — KALI A BROUSSARD (MD) uses 1023549409.
Does the file indicate KALI A BROUSSARD (MD) is practicing under active NPI?
Directory data currently reports KALI A BROUSSARD (MD) as active.
What is KALI A BROUSSARD (MD)'s specialty?
The listing groups KALI A BROUSSARD (MD) with Pediatric Infectious Diseases Physician. Clinical services aligned with this taxonomy classification.
What area does KALI A BROUSSARD (MD) serve?
KALI A BROUSSARD (MD)'s listing highlights Canal Winchester, Ohio; more addresses can appear in NPPES.
How many locations tie to this NPI?
14 practice locations appear in the available data.

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