Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Staci M Kallish, DO

Individual provider Clinical Biochemical Genetics Physician · NPI 1811152796

Staci M Kallish, DO is a Pediatric Medicine in Philadelphia, Pennsylvania. Qualified in 2005, 21 years ago. Practices with University of Penn-Medical Group, a 3,401-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Pennsylvania.

Years since qualifying
21
Licensed in
PA
In the registry since
2008
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

3400 Civic Center Blvd 1st Fl
Philadelphia, PA 19104
Phone: (215) 662-2454
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Genetics (M.D.) Physician (primary) Taxonomy 207SG0201X · Licence OS014273 (PA)
Clinical Biochemical Genetics Physician Taxonomy 207SG0202X · Licence OS014273 (PA)

Record details

NPI number1811152796
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedJuly 21, 2008
Last updated in NPPESSeptember 13, 2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPEDIATRIC MEDICINE
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice University Of Penn-Medical Group — 3401 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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