KALMAN J EDELMAN M.D.
NPI 1164494811
Internal Medicine - Gastroenterology in Pasadena, CA

Active since February 06, 2006PECOS EnrolledAccepts Medicare Assignment
83.99/100
CMS Quality Rating
50 ALESSANDRO PL, SUITE 410, PASADENA, CA 91105(626) 793-7114(818) 889-0408 Get Directions Write a Review

NPPES record last updated: November 30, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kalman J Edelman M.d. NPPES

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

KALMAN J EDELMAN M.D. (NPI 1164494811) is an individual gastroenterology provider in Pasadena, California, licensed in California (G41705) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Illinois College Of Med (chi/peor/rock/chm-urb) (1977).

NPPES Registry Identity

NPI1164494811
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameKALMAN J EDELMANCredential: M.D.
Location Address50 ALESSANDRO PL, SUITE 410Pasadena, CA 91105-3149
Mailing Address50 Alessandro Pl, Suite 410Pasadena, CA 91105-3149 · (626) 793-7114 · Fax (818) 889-0408
Fax(818) 889-0408
Sole ProprietorNo
Medical School CMSUniversity Of Illinois College Of Med (chi/peor/rock/chm-urb)Graduated 1977
Enumeration DateFebruary 6, 2006
Last NPPES UpdateNovember 30, 2016
NPI 1164494811 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 CA · G41705
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.
50 ALESSANDRO PL, Pasadena, CA 91105

Other Identifiers 1

Medicare UPINA92217CA

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

Kalman J Edelman 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 ID1850334335
PECOS Enrollment IDI20120227000414
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 12

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.

Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month 99439
Chronic Care Management services involve regular check-ins with healthcare professionals to manage two or more chronic conditions. It includes an additional 20 minutes of clinical staff time per month, directed by a healthcare professional, to ensure optimal health management.
399 services35 patients
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
224 services34 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.
119 services94 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.
79 services79 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
73 services73 patients
Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito G0500
Moderate sedation is a method where a physician uses medication to help you relax during a gastrointestinal endoscopy. An independent trained observer will be present to monitor your vital signs and ensure your safety throughout the procedure. It's a common and safe practice.
62 services62 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91105 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.

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.

83.99/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality79.4
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims

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

Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4150
Other-Enteral and Parenteral · category OB006N
2 suppliers13 claims5,908 services$0.32 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 20

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

Clinic/Center (Physical Therapy)
50 ALESSANDRO PL, SUITE A40
PASADENA, CA 91105
Internal Medicine (Infectious Disease)
50 ALESSANDRO PL, SUITE 360
PASADENA, CA 91105
Physical Therapist
50 ALESSANDRO PL, SUITE A40
PASADENA, CA 91105
Pediatrics
50 ALESSANDRO PL, SUITE 200
PASADENA, CA 91105
Internal Medicine (Gastroenterology)
50 ALESSANDRO PL, SUITE 410
PASADENA, CA 91105
Internal Medicine (Gastroenterology)
50 ALESSANDRO PL, SUITE 410
PASADENA, CA 91105
Surgery (Surgical Critical Care)
50 ALESSANDRO PL, SUITE 340
PASADENA, CA 91105
Internal Medicine (Infectious Disease)
50 ALESSANDRO PL, SUITE 360
PASADENA, CA 91105

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 Kalman Edelman's NPI number?

The NPI number for Kalman Edelman is 1164494811. It was assigned to this individual provider in the NPPES registry on February 6, 2006.

Where is Kalman Edelman located?

Kalman Edelman practices at 50 Alessandro Pl Suite 410, Pasadena, CA 91105. The listed phone number is (626) 793-7114.

What is Kalman Edelman's specialty?

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

Is Kalman Edelman enrolled in Medicare?

Yes. Kalman Edelman 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.

When was this NPI record last updated?

The NPPES record for Kalman Edelman was last updated on November 30, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.