KAYVAN KAMALI M.D.
NPI 1013912856
Internal Medicine - Rheumatology in Longview, TX

Active since June 17, 2005PECOS EnrolledAccepts Medicare AssignmentCLIA 45D1017598 · Waiver
88.61/100
CMS Quality Rating
920 JUDSON RD, LONGVIEW, TX 75601(903) 236-7020(903) 236-7093 Get Directions Write a Review

NPPES record last updated: December 18, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kayvan Kamali M.d. NPPES

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

KAYVAN KAMALI M.D. (NPI 1013912856) is an individual rheumatology provider in Longview, Texas, licensed in Texas (L7279) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS, holds a CLIA Waiver certificate valid through September 29, 2027, and is affiliated with Christus Good Shepherd Medical Center.

NPPES Registry Identity

NPI1013912856
Entity TypeIndividualMale
Primary Taxonomy207RR0500X
Provider Legal NameKAYVAN KAMALICredential: M.D.
Location Address920 JUDSON RDLongview, TX 75601-5113
Mailing Address920 Judson RdLongview, TX 75601-5113 · (903) 236-7020 · Fax (903) 236-7093
Fax(903) 236-7093
Sole ProprietorYes
Medical School CMSOtherGraduated 1996
Enumeration DateJune 17, 2005
Last NPPES UpdateDecember 18, 2019
NPI 1013912856 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
License Licensed in TX · L7279
Definition
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.
920 JUDSON RD, Longview, TX 75601

Other Identifiers 1

Medicaid170428001TX

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

Kayvan Kamali M.d. 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 ID446249544
PECOS Enrollment IDI20040512000120
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.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D1017598

Kayvan Kamali, MD · Longview, TX
Active · expires Sep 29, 2027
CLIA Number45D1017598
Laboratory TypePhysician Office
Certificate Effective DateSeptember 30, 2025
Certificate Expiration DateSeptember 29, 2027
Laboratory DirectorKayvan Kamali MD
Laboratory Phone(903) 236-7020
Laboratory LocationKayvan Kamali, MD920 Judson Rd, Longview, TX 75601
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 13

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.

Injection, denosumab, 1 mg J0897
Denosumab is a medication given via injection to strengthen your bones. It works by slowing down the cells that break down bone, improving bone density and reducing the risk of fractures. It's often used for osteoporosis treatment.
3,720 services40 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
1,500 services519 patients
Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
356 services61 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
212 services122 patients
Dxa bone density measurement of hip, pelvis, spine 77080
A DXA bone density measurement is a simple, quick, and non-invasive procedure that assesses the strength of your bones. This test uses X-rays to measure the amount of minerals, mainly calcium, in the hip, pelvis, and spine. It helps in early detection of osteoporosis or other bone diseases.
207 services207 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
190 services112 patients

Hospital Affiliations CMS Care Compare 5

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

Christus Good Shepherd Medical Center

Acute Care Hospitals · Longview, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450032
Location700 E Marshall AveLongview, TX 75601 · Gregg County
Emergency services Birthing friendly

Titus Regional Medical Center

Acute Care Hospitals · Mount Pleasant, TX
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number450080
Location2001 N JeffersonMount Pleasant, TX 75455 · Titus County
Emergency services Birthing friendly

Ut Health East Texas Carthage Hospital

Acute Care Hospitals · Carthage, TX
OwnershipProprietary
CMS Certification Number450210
Location409 Cottage RdCarthage, TX 75633 · Panola County
Emergency services

Ut Health East Texas Henderson Hospital

Acute Care Hospitals · Henderson, TX
OwnershipProprietary
CMS Certification Number450475
Location300 Wilson StreetHenderson, TX 75652 · Rusk County
Emergency services Birthing friendly

Ut Health East Texas Pittsburg Hospital

Critical Access Hospitals · Pittsburg, TX
3/5 CMS rating
OwnershipProprietary
CMS Certification Number451367
Location2701 Us Hwy 271 NPittsburg, TX 75686 · Camp County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75601 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
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

88.61/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality70.99
Promoting Interoperability78
Improvement Activities40
Cost99.85

Reported Quality Measures

Diabetes: Medical Attention for Nephropathy
The percentage of patients 18-75 years of age with diabetes who had a nephropathy screening test or evidence of nephropathy during the measurement period
77%470 patients4/55-star benchmark: 99%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
92%10,613 patients4/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
98%17,600 patients4/55-star benchmark: 100%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
0%395 patients1/55-star benchmark: 96%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
0%837 patients1/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
43%2,532 patients2/55-star benchmark: 99%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
21%3,069 patients1/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients tobacco: 75% · 2,852 patients
92%2,852 patients
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
59%2,532 patients3/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
0%2,532 patients1/55-star benchmark: 59%
Use of High-Risk Medications in the Elderly
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.
Lower rates are better for this measure.
Patients 2+: 0% · 1,068 patients
8%1,068 patients3/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 20

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

Radiology (Diagnostic Radiology)
920 JUDSON RD
LONGVIEW, TX 75601
Radiology (Diagnostic Radiology)
920 JUDSON RD
LONGVIEW, TX 75601
Radiology (Diagnostic Radiology)
920 JUDSON RD
LONGVIEW, TX 75601
Radiology (Diagnostic Radiology)
920 JUDSON RD
LONGVIEW, TX 75601
Radiology (Diagnostic Radiology)
920 JUDSON RD
LONGVIEW, TX 75601
Radiology (Diagnostic Radiology)
920 JUDSON RD
LONGVIEW, TX 75601
Internal Medicine (Rheumatology)
920 JUDSON RD
LONGVIEW, TX 75601
Radiology (Diagnostic Radiology)
920 JUDSON RD
LONGVIEW, TX 75601

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 Kayvan Kamali's NPI number?

The NPI number for Kayvan Kamali is 1013912856. It was assigned to this individual provider in the NPPES registry on June 17, 2005.

Where is Kayvan Kamali located?

Kayvan Kamali practices at 920 Judson Rd, Longview, TX 75601. The listed phone number is (903) 236-7020.

What is Kayvan Kamali's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Is Kayvan Kamali enrolled in Medicare?

Yes. Kayvan Kamali 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.

Does Kayvan Kamali hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D1017598) is associated with this NPI, valid through September 29, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Kayvan Kamali accept?

Health plans from Blue Cross and Blue Shield of Texas and CHRISTUS Health Plan list Kayvan Kamali 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 Kayvan Kamali affiliated with any hospitals?

According to CMS data, Kayvan Kamali is affiliated with Christus Good Shepherd Medical Center, Titus Regional Medical Center, Ut Health East Texas Carthage Hospital, Ut Health East Texas Henderson Hospital and Ut Health East Texas Pittsburg Hospital.

When was this NPI record last updated?

The NPPES record for Kayvan Kamali was last updated on December 18, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.