1. Home
  2. Directory
  3. Florida
  4. Lake Mary
  5. Internal Medicine
  6. NPI Profile

DR. KALYANI GADDIPATI M.D.
NPI 1033165964
Internal Medicine - Gastroenterology in Lake Mary, FL

Active since May 25, 2006PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
917 RINEHART RD, SUITE 2051, LAKE MARY, FL 32746(407) 936-2444 Get Directions Write a Review

NPPES record last updated: May 15, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 15, 2024, May 10, 2024 (2 updates tracked since 2024).

About Dr. Kalyani Gaddipati M.d. NPPES

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

DR. KALYANI GADDIPATI M.D. (NPI 1033165964) is an individual gastroenterology provider in Lake Mary, Florida, licensed in Florida (ME74348) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS, is affiliated with Orlando Health, and is a graduate of Other (1990).

NPPES Registry Identity

NPI1033165964
Entity TypeIndividualFemale
Primary Taxonomy207RG0100X
Provider Legal NameDR. KALYANI GADDIPATICredential: M.D.
Location Address917 RINEHART RD, SUITE 2051Lake Mary, FL 32746-4802
Mailing Address917 Rinehart Rd, Suite 2051Lake Mary, FL 32746-4802 · (407) 936-2444
Phone(407) 936-2444
Sole ProprietorNo
Medical School CMSOtherGraduated 1990
Enumeration DateMay 25, 2006
Last NPPES UpdateMay 15, 20242 updates tracked since enumeration
NPPES CertifiedMay 15, 2024
✔ NPI 1033165964 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in FL · ME74348
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
917 RINEHART RD, Lake Mary, FL 32746
Open in Google Maps ↗

Other Identifiers 6

Other5702044007Cigna
Other43554Bcbs
Other100016196Railroad Medicare
Medicaid254587000FL
Other3542Fhhs
Other2745785Aetna

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next, AvMed, Florida Blue (BlueCross BlueShield FL) and more.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

Dr. Kalyani Gaddipati 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 ID3971548538
PECOS Enrollment IDI20060221000516
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 6

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.

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.
209 services162 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
146 services146 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
52 services52 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
47 services47 patients
Colorectal cancer screening; colonoscopy on individual at high risk G0105
Colorectal cancer screening, specifically a colonoscopy, is a preventive measure for those at high risk. A thin, flexible tube with a camera inspects the colon to spot any abnormal growths. This test helps detect potential issues early, enhancing the effectiveness of treatment.
23 services23 patients
Diagnostic exam of large bowel using a flexible endoscope 45378
This procedure, known as a colonoscopy, involves using a flexible tube with a light and camera to examine the large intestine. It helps detect any abnormalities such as polyps or inflammation. It's a standard procedure to ensure gut health.
14 services14 patients

Hospital Affiliations CMS Care Compare

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

Orlando Health

Acute Care Hospitals · Orlando, FL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100006
Location52 W Underwood StOrlando, FL 32806 · Orange County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32746 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored

Reported Quality Measures

Closing the Referral Loop: Receipt of Specialist Report
Percentage of patients with referrals, regardless of age, for which the referring provider receives a report from the provider to whom the patient was referred
71%445 patients4/55-star benchmark: 95%
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
81%759 patients4/55-star benchmark: 85%
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.
100%1,281 patients5/55-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.
29%908 patients1/55-star benchmark: 99%
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…
58%398 patients3/55-star benchmark: 88%
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.
100%111 patients5/55-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.
62%305 patients3/55-star benchmark: 97%
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…
80%1,086 patients4/55-star benchmark: 97%
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…
89%305 patients4/55-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…
1%305 patients1/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
18%305 patients
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 15

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

MRS. LINDSAY PALMER STOUFFER C. PED
Durable Medical Equipment & Medical Supplies
917 RINEHART RD, STE. 2001
LAKE MARY, FL 32746
Seminole County (407) 956-3553
DR. JACOB BARTOSZEK D.P.M.
Podiatrist (Foot & Ankle Surgery)
917 RINEHART RD, SUITE 1051
LAKE MARY, FL 32746
Seminole County (321) 397-2699
ELITE HOMECARE SOLUTIONS LLC
Home Health
917 RINEHART RD, SUITE 1051
LAKE MARY, FL 32746
Seminole County (407) 647-2346
KALYANI GADDIPATI MD PL
Internal Medicine (Gastroenterology)
917 RINEHART RD, SUITE 2051
LAKE MARY, FL 32746
Seminole County (407) 936-2444
ALLIANCE SURGICAL CENTER LLC
Clinic/Center (Ambulatory Surgical)
917 RINEHART RD, SUITE 1001
LAKE MARY, FL 32746
Seminole County (407) 708-5383
DR. MARY LYNN VERARDI D.D.S.
Dentist (General Practice)
917 RINEHART RD, SUITE 2021
LAKE MARY, FL 32746
Seminole County (407) 688-9901
DR. CLAIRE DENISE GODFREY M.D.
Obstetrics & Gynecology (Gynecology)
917 RINEHART RD, SUITE 2001
LAKE MARY, FL 32746
Seminole County (407) 260-8987
RINEHART SURGERY CENTER OF LAKE MARY LLC
Clinic/Center (Ambulatory Surgical)
917 RINEHART RD, 1001
LAKE MARY, FL 32746
Seminole County (407) 708-5383

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 Kalyani Gaddipati's NPI number?

The NPI number for Kalyani Gaddipati is 1033165964. It was assigned to this individual provider in the NPPES registry on May 25, 2006.

Where is Kalyani Gaddipati located?

Kalyani Gaddipati practices at 917 Rinehart Rd Suite 2051, Lake Mary, FL 32746. The listed phone number is (407) 936-2444.

What is Kalyani Gaddipati's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Kalyani Gaddipati enrolled in Medicare?

Yes. Kalyani Gaddipati 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 Kalyani Gaddipati accept?

Health plans from AmeriHealth Caritas Next, AvMed, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Florida Health Care Plans list Kalyani Gaddipati 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 Kalyani Gaddipati affiliated with any hospitals?

According to CMS data, Kalyani Gaddipati is affiliated with Orlando Health.

When was this NPI record last updated?

The NPPES record for Kalyani Gaddipati was last updated on May 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.