Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. KALPANA KODALI HUGHES MD
NPI 1063455624
Pediatrics - Pediatric Gastroenterology in Baltimore, MD

Active since June 13, 2006PECOS Enrolled
2700 QUARRY LAKE DR STE 270, BALTIMORE, MD 21209(410) 601-8663(410) 585-2856 Get Directions Write a Review

NPPES record last updated: September 22, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 22, 2026, Jul 31, 2024, May 10, 2024 and 3 more (6 updates tracked since 2022).

About Dr. Kalpana Kodali Hughes Md NPPES

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

DR. KALPANA KODALI HUGHES MD (NPI 1063455624) is an individual pediatric gastroenterology provider in Baltimore, Maryland, licensed in California (C209531) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1063455624
Entity TypeIndividualFemale
Primary Taxonomy2080P0206X
Provider Legal NameDR. KALPANA KODALI HUGHESCredential: MD
Location Address2700 QUARRY LAKE DR STE 270Baltimore, MD 21209-3744
Mailing Address2700 Quarry Lake Dr Ste 270Baltimore, MD 21209-3744 · (410) 601-8663 · Fax (410) 585-2852
Fax(410) 585-2856
Sole ProprietorNo
Enumeration DateJune 13, 2006
Last NPPES UpdateSeptember 22, 20266 updates tracked since enumeration
NPPES CertifiedSeptember 22, 2026
✔ NPI 1063455624 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0206X
Licenses✔ Licensed in CA · C209531✔ Licensed in ME · MD25584✔ Licensed in MD · D43614
Definition
A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs.
2700 QUARRY LAKE DR STE 270, Baltimore, MD 21209

Other Names 1

Former Name (1)Kalpana Kodali Murthy Md

Secondary Practice Locations 4

Location 12401 Bath St Fl 2Santa Barbara, CA 93105-4324 · Phone (805) 879-4240 · Fax (805) 566-3037
Location 2250 W 96th St Ste 520Indianapolis, IN 46260-1317 · Phone (317) 583-3211 · Fax (317) 583-2617
Location 3489 State StBangor, ME 04401-6616 · Phone (207) 973-8829
Location 4400 N 9th St Fl 4Springfield, IL 62702-5310 · Phone (217) 545-8000 · Fax (217) 545-5018

Other Identifiers 2

Other370006608MD · R/r Medicare Provider #
Medicaid850371100MD

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kalpana Kodali Hughes Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

5

Medicare enrollment records show Kalpana Hughes reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Pediatric Gastroenterology
2411 W. BELVEDERE AVENUE, SUITE 407, MORTON MOWER, M.D., MOB
Baltimore, MD 21215
  • Reassigned Medicare billing, Maryland enrollment
  • 7 clinicians in this Medicare group
Endocrinology, Diabetes & Metabolism
201 E MADISON ST STE 328
Springfield, IL 62702
  • Reassigned Medicare billing, Illinois enrollment
  • 645 clinicians in this Medicare group
General Practice
6600 S YALE AVE, SUITE 1400
Tulsa, OK 74136
  • Reassigned Medicare billing, Oklahoma enrollment
  • 1,144 clinicians in this Medicare group
General Practice
32 WICKS LN
Billings, MT 59105
  • Reassigned Medicare billing, Montana enrollment
  • 438 clinicians in this Medicare group
Clinic/Center
400 W PUEBLO ST
Santa Barbara, CA 93105
  • Reassigned Medicare billing, California enrollment
  • 157 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21209 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
$139.05 typical visit price
range $60.73 – $183.44
Typical copayment $34.76 (range $15.18 – $45.86)
Most-billed visit code 99204
Established Patient
$106.59 typical visit price
range $19.60 – $149.17
Typical copayment $26.64 (range $4.90 – $37.29)
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.

Referred Medical Equipment & Supplies CMS DME claims 19

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4034
Other-Enteral and Parenteral · category OB006N
1 supplier12 claims360 services$2.63 avg. paid by Medicare
Enteral formula, nutritionally complete, hydrolyzed proteins (amino acids and peptide chain), includes fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4153
Other-Enteral and Parenteral · category OB006N
1 supplier12 claims4,320 services$1.00 avg. paid by Medicare
Tlso, flexible, provides trunk support, thoracic region, rigid posterior panel and soft anterior apron, extends from the sacrococcygeal junction and terminates just inferior to the scapular spine, restricts gross trunk motion in the sagittal plane, produces intracavitary pressure to reduce load on the intervertebral disks, includes straps and closures, prefabricated, off-the-shelf L0457
DME-Orthotic Devices · category DF000N
6 suppliers14 claims14 services$611.03 avg. paid by Medicare
Lumbar-sacral orthosis, sagittal control, with rigid anterior and posterior panels, posterior extends from sacrococcygeal junction to t-9 vertebra, produces intracavitary pressure to reduce load on the intervertebral discs, includes straps, closures, may include padding, shoulder straps, pendulous abdomen design, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise L0631
DME-Orthotic Devices · category DF007N
3 suppliers26 claims26 services$824.31 avg. paid by Medicare
Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panels, posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panels, produces intracavitary pressure to reduce load on intervertebral discs, includes straps, closures, may include padding, shoulder straps, pendulous abdomen design, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise L0637
DME-Orthotic Devices · category DF007N
5 suppliers151 claims151 services$909.10 avg. paid by Medicare
Lumbar-sacral orthosis, sagittal-coronal control, rigid shell(s)/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, anterior extends from symphysis pubis to xyphoid, produces intracavitary pressure to reduce load on the intervertebral discs, overall strength is provided by overlapping rigid material and stabilizing closures, includes straps, closures, may include soft interface, pendulous abdomen design, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise L0639
DME-Orthotic Devices · category DF007N
3 suppliers25 claims25 services$866.38 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 3

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

Pediatrics (Pediatric Endocrinology)
2700 QUARRY LAKE DR STE 270
BALTIMORE, MD 21209
Pediatrics (Pediatric Pulmonology)
2700 QUARRY LAKE DR STE 270
BALTIMORE, MD 21209
Pediatrics (Pediatric Hematology-Oncology)
2700 QUARRY LAKE DR STE 270
BALTIMORE, MD 21209

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 Kalpana Hughes's NPI number?

The NPI number for Kalpana Hughes is 1063455624. It was assigned to this individual provider in the NPPES registry on June 13, 2006. The provider is also known as Kalpana Kodali Murthy MD.

Where is Kalpana Hughes located?

Kalpana Hughes practices at 2700 Quarry Lake Dr Ste 270, Baltimore, MD 21209. The listed phone number is (410) 601-8663.

What is Kalpana Hughes's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Gastroenterology, with taxonomy code 2080P0206X.

Is Kalpana Hughes enrolled in Medicare?

Yes. Kalpana Hughes is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Kalpana Hughes's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kalpana Hughes reassigns Medicare benefits to 5 organizations: Sinai Hospital Of Baltimore Inc (Baltimore, MD), Siu Physicians & Surgeons, Inc (Springfield, IL), Warren Clinic Inc (Tulsa, OK), Scl Health Medical Group - Billings, LLC (Billings, MT) and Cottage Medical Foundation (Santa Barbara, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kalpana Hughes's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kalpana Hughes accept?

Health plans from Blue Cross and Blue Shield of Montana, CareSource, Mountain Health CO-OP, PacificSource Health Plans and Providence Health Plan list Kalpana Hughes 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.

When was this NPI record last updated?

The NPPES record for Kalpana Hughes was last updated on September 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 42 days 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.