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

NATHISHA KALPAGE MD
NPI 1154018604
Internal Medicine in Los Angeles, CA

Active since April 24, 2023PECOS Enrolled
5100 W GOLDLEAF CIR FL 2, LOS ANGELES, CA 90056(323) 293-7171(310) 348-3716 Get Directions Write a Review

NPPES record last updated: October 16, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Nathisha Kalpage Md NPPES

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

NATHISHA KALPAGE MD (NPI 1154018604) is an individual internal medicine provider in Los Angeles, California, licensed in California (A209948) and active in the NPI registry since April 2023. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Michigan State University College Of Human Medicine (2023).

NPPES Registry Identity

NPI1154018604
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameNATHISHA KALPAGECredential: MD
Location Address5100 W GOLDLEAF CIR FL 2Los Angeles, CA 90056-1658
Mailing Address5100 W Goldleaf Cir Fl 2Los Angeles, CA 90056-1658 · (323) 293-7171 · Fax (310) 348-3716
Phone(323) 293-7171
Fax(310) 348-3716
Sole ProprietorNo
Medical School CMSMichigan State University College Of Human MedicineGraduated 2023
Enumeration DateApril 24, 2023
Last NPPES UpdateOctober 16, 2026
NPPES CertifiedOctober 16, 2026
✔ NPI 1154018604 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 CA · A209948
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 ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
5100 W GOLDLEAF CIR FL 2, Los Angeles, CA 90056
Open in Google Maps ↗

Secondary Practice Locations 2

Location 112618 Hawthorne BlvdHawthorne, CA 90250-3907 · Phone (310) 263-5700 · Fax (310) 263-5771
Location 21000 W Carson StTorrance, CA 90502-2004 · Phone (310) 222-2345

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nathisha Kalpage Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7810457165
PECOS Enrollment IDI20260904003937
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 Reassignment

Medicare enrollment records show Nathisha Kalpage reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Providence Medical Institute
10 mi
Family Medicine
4101 TORRANCE BLVD
Torrance, CA 90503
  • Reassigned Medicare billing, California enrollment
  • 266 clinicians in this Medicare group
NPI 1235182569 (310) 793-8075

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 90056 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
$142.39 typical visit price
range $62.96 – $187.60
Typical copayment $35.59 (range $15.74 – $46.90)
Most-billed visit code 99204
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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.

Other Providers at the Same Location NPPES 4

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

KRISTINA TOMBULYAN
Family Medicine
5100 W GOLDLEAF CIR FL 2
LOS ANGELES, CA 90056
Los Angeles County (323) 293-7171
SAHIL PARIKH M.D.
Internal Medicine (Endocrinology, Diabetes & Metabolism)
5100 W GOLDLEAF CIR FL 2
LOS ANGELES, CA 90056
Los Angeles County (323) 293-7171
JOHN JOSEPH SCUDIERO DO
Family Medicine
5100 W GOLDLEAF CIR FL 2
LOS ANGELES, CA 90056
Los Angeles County (323) 293-7171
BANSARI PATEL DO
Internal Medicine
5100 W GOLDLEAF CIR FL 2
LOS ANGELES, CA 90056
Los Angeles County (323) 293-7171

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 Nathisha Kalpage's NPI number?

The NPI number for Nathisha Kalpage is 1154018604. It was assigned to this individual provider in the NPPES registry on April 24, 2023.

Where is Nathisha Kalpage located?

Nathisha Kalpage practices at 5100 W Goldleaf Cir Fl 2, Los Angeles, CA 90056. The listed phone number is (323) 293-7171.

What is Nathisha Kalpage's specialty?

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

Is Nathisha Kalpage enrolled in Medicare?

Yes. Nathisha Kalpage is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Nathisha Kalpage's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nathisha Kalpage reassigns Medicare benefits to Providence Medical Institute (Torrance, CA). The 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 Nathisha Kalpage's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Nathisha Kalpage was last updated on October 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.