KIRAN BAI MD
NPI 1154807899
Internal Medicine in Pittsburgh, PA

Active since July 16, 2018PECOS EnrolledAccepts Medicare Assignment
78.21/100
CMS Quality Rating
4815 LIBERTY AVE STE 215, PITTSBURGH, PA 15224(412) 235-5900(412) 235-5901 Get Directions Write a Review

NPPES record last updated: July 15, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 15, 2026, Dec 7, 2021, Nov 29, 2021 and 1 more (4 updates tracked since 2018).

About Kiran Bai Md NPPES

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

KIRAN BAI MD (NPI 1154807899) is an individual internal medicine provider in Pittsburgh, Pennsylvania, licensed in Pennsylvania (MD476007) and active in the NPI registry since July 2018. She is enrolled in Medicare PECOS, is affiliated with St Clair Hospital, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1154807899
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameKIRAN BAICredential: MD
Location Address4815 LIBERTY AVE STE 215Pittsburgh, PA 15224-2156
Mailing Address4815 Liberty Ave Ste 215Pittsburgh, PA 15224-2156 · (412) 235-5900 · Fax (412) 235-5901
Fax(412) 235-5901
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateJuly 16, 2018
Last NPPES UpdateJuly 15, 20264 updates tracked since enumeration
NPPES CertifiedJuly 15, 2026
✔ NPI 1154807899 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in PA · MD476007
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.
4815 LIBERTY AVE STE 215, Pittsburgh, PA 15224

Other Identifiers 1

Other15437459Caqh

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kiran Bai 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 ID3072902998
PECOS Enrollment IDI20211116000814
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

3

Medicare enrollment records show Kiran Bai reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Same address
Surgery
4815 LIBERTY AVE STE 215
Pittsburgh, PA 15224
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 2,881 clinicians in this Medicare group
Critical Care Medicine
1000 BOWER HILL RD
Pittsburgh, PA 15243
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 133 clinicians in this Medicare group
Internal Medicine
15059 N SCOTTSDALE ROAD, SUITE 600
Scottsdale, AZ 85254
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 383 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.

Areas of Expertise CMS Part B claims 3

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
225 services77 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
52 services52 patients
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.
18 services17 patients

Hospital Affiliations CMS Care Compare

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

St Clair Hospital

Acute Care Hospitals · Pittsburgh, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390228
Location1000 Bower Hill RoadPittsburgh, PA 15243 · Allegheny County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15224 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

78.21/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality71.17
Improvement Activities40
Cost56.29

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.

Surgery
4815 LIBERTY AVE STE 215
PITTSBURGH, PA 15224
Physician Assistant
4815 LIBERTY AVE STE 215
PITTSBURGH, PA 15224
Dietitian, Registered
4815 LIBERTY AVE STE 215
PITTSBURGH, PA 15224
Physician Assistant
4815 LIBERTY AVE STE 215
PITTSBURGH, PA 15224
Nurse Practitioner (Family)
4815 LIBERTY AVE STE 215
PITTSBURGH, PA 15224
Physician Assistant
4815 LIBERTY AVE STE 215
PITTSBURGH, PA 15224
Dietitian, Registered
4815 LIBERTY AVE STE 215
PITTSBURGH, PA 15224
Physician Assistant
4815 LIBERTY AVE STE 215
PITTSBURGH, PA 15224

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 Kiran Bai's NPI number?

The NPI number for Kiran Bai is 1154807899. It was assigned to this individual provider in the NPPES registry on July 16, 2018.

Where is Kiran Bai located?

Kiran Bai practices at 4815 Liberty Ave Ste 215, Pittsburgh, PA 15224. The listed phone number is (412) 235-5900.

What is Kiran Bai's specialty?

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

Is Kiran Bai enrolled in Medicare?

Yes. Kiran Bai 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.

Which organizations bill Medicare for Kiran Bai's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kiran Bai reassigns Medicare benefits to 3 organizations: Allegheny Clinic (Pittsburgh, PA), St Clair Professional Services Inc (Pittsburgh, PA) and Apogee Medical Group Of Pennsylvania PC (Scottsdale, AZ). 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 Kiran Bai's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Kiran Bai affiliated with any hospitals?

According to CMS data, Kiran Bai is affiliated with St Clair Hospital.

When was this NPI record last updated?

The NPPES record for Kiran Bai was last updated on July 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.