Ethan Kallenberger, MD
NPI 1043103963 · Otolaryngology Physician · Charleston, SC
Enrolled with Medicare as Order and Referring Only - Otolaryngology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Ethan Kallenberger, MD is a Otolaryngology Physician provider in Charleston, SC (NPI 1043103963).
Provider details
- NPI number
- 1043103963
- Entity type
- Individual
- Primary specialty
- Otolaryngology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Student, Health Care
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2025-05-30
- Last updated
- 2025-06-30
- Certified
- 2025-06-30
Frequently asked questions
- What is Ethan Kallenberger's NPI number?
- Ethan Kallenberger's National Provider Identifier (NPI) is 1043103963, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Ethan Kallenberger's specialty?
- Ethan Kallenberger is listed in the NPPES registry with a primary specialty of Otolaryngology Physician (Allopathic & Osteopathic Physicians).
- Where is Ethan Kallenberger located?
- Ethan Kallenberger's practice location on file with NPPES is 169 Ashley Ave # Msc333, Charleston, SC 29425-8905.
- What is Ethan Kallenberger's phone number?
- The practice phone number listed in the NPPES registry for Ethan Kallenberger is (843) 792-7365.
- Does Ethan Kallenberger accept Medicare?
- Ethan Kallenberger is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Ethan Kallenberger's NPI active?
- Yes — Ethan Kallenberger's NPI (1043103963) is active in the NPPES registry as of the last update on 2025-06-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.