KALAVATI PAILA MD
NPI 1003901810
Internal Medicine in Richland, WA

Active since October 04, 2006PECOS EnrolledAccepts Medicare Assignment
83.05/100
CMS Quality Rating
888 SWIFT BLVD., RICHLAND, WA 99352(509) 946-4611(509) 942-2185 Get Directions Write a Review

NPPES record last updated: March 23, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kalavati Paila Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KALAVATI PAILA MD (NPI 1003901810) is an individual internal medicine provider in Richland, Washington, licensed in Washington (MD00047148) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with Trios Health, and maintains a secondary practice location in Richland.

NPPES Registry Identity

NPI1003901810
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameKALAVATI PAILACredential: MD
Location Address888 SWIFT BLVD.Richland, WA 99352
Mailing Address3900 S Zintel WayKennewick, WA 99338 · (509) 942-3627 · Fax (509) 942-2268
Fax(509) 942-2185
Sole ProprietorNo
Medical School CMSOtherGraduated 1994
Enumeration DateOctober 4, 2006
Last NPPES UpdateMarch 23, 2021
NPPES CertifiedMarch 1, 2021
NPI 1003901810 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in WA · MD00047148
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedHospitalistTaxonomy 208M00000X · License MD00047148 (WA)
888 SWIFT BLVD., Richland, WA 99352

Secondary Practice Location 1

Location 1891 SWIFT BLVDRICHLAND, WA 99352 · Phone (509) 543-0158 · Fax (509) 942-2185

Other Identifiers 2

Medicaid1003901810WA
Other025904WA · Krmc L&i Group Number

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Kalavati Paila Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8224134176
PECOS Enrollment IDI20070509000500
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
396 services384 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
71 services71 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Trios Health

Acute Care Hospitals · Kennewick, WA
1/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number500053
Location900 South Auburn StreetKennewick, WA 99336 · Benton County
Emergency services Birthing friendly

Kadlec Regional Medical Center

Acute Care Hospitals · Richland, WA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number500058
Location888 Swift BlvdRichland, WA 99352 · Benton County
Emergency services Birthing friendly

Prosser Memorial Hospital

Critical Access Hospitals · Prosser, WA
OwnershipGovernment - Hospital District or Authority
CMS Certification Number501312
Location723 Memorial StreetProsser, WA 99350 · Benton County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 99352 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$130.99 typical visit price
range $57.27 – $172.80
Typical copayment $32.74 (range $14.31 – $43.20)
Most-billed visit code 99204
Established Patient
$100.78 typical visit price
range $18.56 – $141.11
Typical copayment $25.19 (range $4.64 – $35.27)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

83.05/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.47
Promoting Interoperability100
Improvement Activities40
Cost67.03

Other Providers at the Same Location NPPES 19

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine
888 SWIFT BLVD.
RICHLAND, WA 99352
Internal Medicine (Critical Care Medicine)
888 SWIFT BLVD.
RICHLAND, WA 99352
Anesthesiology
888 SWIFT BLVD.
RICHLAND, WA 99352
Internal Medicine
888 SWIFT BLVD.
RICHLAND, WA 99352
Internal Medicine
888 SWIFT BLVD.
RICHLAND, WA 99352
Internal Medicine
888 SWIFT BLVD.
RICHLAND, WA 99352
Hospitalist
888 SWIFT BLVD.
RICHLAND, WA 99352
Hospitalist
888 SWIFT BLVD., HOSPITAL KADLEC (HOSPITALIST)
RICHLAND, WA 99352

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kalavati Paila's NPI number?

The NPI number for Kalavati Paila is 1003901810. It was assigned to this individual provider in the NPPES registry on October 4, 2006.

Where is Kalavati Paila located?

Kalavati Paila practices at 888 Swift Blvd., Richland, WA 99352. The listed phone number is (509) 946-4611.

What is Kalavati Paila's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Kalavati Paila enrolled in Medicare?

Yes. Kalavati Paila is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Kalavati Paila accept?

Health plans from PacificSource Health Plans and Premera Blue Cross Blue Shield of Alaska list Kalavati Paila as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Kalavati Paila affiliated with any hospitals?

According to CMS data, Kalavati Paila is affiliated with Trios Health, Kadlec Regional Medical Center and Prosser Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Kalavati Paila was last updated on March 23, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.