Provider Demographics
NPI:1821067646
Name:KALUTA, ARTUR (MD)
Entity Type:Individual
Prefix:
First Name:ARTUR
Middle Name:
Last Name:KALUTA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:595 CHAPEL HILLS DR STE 201
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80920-1056
Mailing Address - Country:US
Mailing Address - Phone:719-475-9613
Mailing Address - Fax:
Practice Address - Street 1:595 CHAPEL HILLS DR STE 201
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80920-1056
Practice Address - Country:US
Practice Address - Phone:719-475-9613
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-03-15
Last Update Date:2023-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CODR.0066145207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN200336280Medicaid
IN000000196741OtherANTHEM PROVIDER NUMBER
IN11384877OtherCAQH NUMBER
IN9397194OtherPHCS PID NUMBER
IN660003417Medicare PIN
IN11384877OtherCAQH NUMBER
IN200336280Medicaid
IN000000196741OtherANTHEM PROVIDER NUMBER