Look up the most recent NPI and PECOS records

Lester Kallus

Emergency Medicine

Allopathic & Osteopathic Physicians

University Hospital, L4, Stony Brook, NY 11794-0001

PECOS Enrollment

Based on the most recent information from CMS, provider Lester Kallus does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 4 days ago.

Profile Details

Provider ID
1154357887
Provider Type
Individual
Full Name
Kallus, Lester
Title
Dr.

Credential
M.D.
Gender
Male
Enumeration Date
6/24/2006
Last Updated
7/8/2007

Contact Information

Practice Location

University Hospital, L4, Stony Brook, NY 11794-0001

(631) 444-2499

Unlisted Fax

Mailing Location

PO Box 1559, Stony Brook, NY 11790-0989

(631) 444-2499

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 207P00000X Primary	Description Emergency Medicine Allopathic & Osteopathic Physicians	License 132623 New York

Provider Identifiers

ID	Description	Issuer
ID 4539569	Description Other	Issuer AETNA New York
ID 01278660	Description Medicaid	Issuer Unlisted New York
ID 02F03	Description Other	Issuer EMPIRE BC.BS New York

Lester Kallus

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

ID

Description

Issuer

ID

Description

Issuer

Miller, Emily Kathleen Hogan

Lim, Aaron Tungyin

Nocito, Robert M

Constantine, Matthew Wayne

Massey, Lyndsay Ellen

Mohammady, Najim

Conrad, Cara

Li, Wei Jie

Chale, Stuart

Leonard, Marshall