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DR. RICHARD KALMAN M.D.
NPI 1184891020
Internal Medicine - Gastroenterology in Philadelphia, PA

Active since May 09, 2008PECOS EnrolledAccepts Medicare Assignment
5401 OLD YORK RD, KLEIN PROFESSIONAL BUILDING, SUITE 505, PHILADELPHIA, PA 19141(215) 456-8242(215) 456-8058 Get Directions Write a Review

NPPES record last updated: July 18, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Richard Kalman M.d. NPPES

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

DR. RICHARD KALMAN M.D. (NPI 1184891020) is an individual gastroenterology provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD458130) and active in the NPI registry since May 2008. He is enrolled in Medicare PECOS, is affiliated with Albert Einstein Medical Center, and is a graduate of Tufts University School Of Medicine (2008).

NPPES Registry Identity

NPI1184891020
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameDR. RICHARD KALMANCredential: M.D.
Location Address5401 OLD YORK RD, KLEIN PROFESSIONAL BUILDING, SUITE 505Philadelphia, PA 19141-3030
Mailing Address5401 Old York Rd, Klein Professional Building, Suite 505Philadelphia, PA 19141-3030 · (215) 456-8242 · Fax (215) 456-8058
Phone(215) 456-8242
Fax(215) 456-8058
Sole ProprietorYes
Medical School CMSTufts University School Of MedicineGraduated 2008
Enumeration DateMay 9, 2008
Last NPPES UpdateJuly 18, 2016
✔ NPI 1184891020 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in PA · MD458130
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.
Also ListedInternal Medicine · Transplant HepatologyTaxonomy 207RT0003X · License MD458130 (PA)
5401 OLD YORK RD, Philadelphia, PA 19141
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.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. Richard Kalman 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 ID1658510185
PECOS Enrollment IDI20161006000132, I20170908002091, I20241028000454
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 10

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 high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
95 services75 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
73 services23 patients
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.
51 services21 patients
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.
39 services35 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
26 services23 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
20 services17 patients

Hospital Affiliations CMS Care Compare 2

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

Albert Einstein Medical Center

Acute Care Hospitals · Philadelphia, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390142
Location5501 Old York RoadPhiladelphia, PA 19141 · Philadelphia County
Emergency services Birthing friendly

Einstein Medical Center Montgomery

Acute Care Hospitals · East Norriton, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390329
Location559 West Germantown PikeEast Norriton, PA 19403 · Montgomery County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19141 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
$137.17 typical visit price
range $59.88 – $180.99
Typical copayment $34.29 (range $14.97 – $45.24)
Most-billed visit code 99204
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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 7

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

Tacrolimus, immediate release, oral, 1 mg J7507
Treatment-Treatment - Miscellaneous · category RX029N
7 suppliers133 claims10,620 services$0.31 avg. paid by Medicare
Prednisone, immediate release or delayed release, oral, 1 mg J7512
Treatment-Treatment - Miscellaneous · category RX029N
2 suppliers13 claims1,875 services$0.01 avg. paid by Medicare
Cyclosporine, oral, 25 mg J7515
Treatment-Treatment - Miscellaneous · category RX029N
3 suppliers16 claims1,980 services$0.57 avg. paid by Medicare
Mycophenolate mofetil, oral, 250 mg J7517
Treatment-Treatment - Miscellaneous · category RX029N
3 suppliers74 claims9,840 services$0.18 avg. paid by Medicare
Mycophenolic acid, oral, 180 mg J7518
Treatment-Treatment - Miscellaneous · category RX029N
1 supplier35 claims4,860 services$0.98 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511
Treatment-Chemotherapy · category RH012N
8 suppliers170 claims170 services$18.06 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.

MORTON S MANDELL M.D.
Internal Medicine (Cardiovascular Disease)
5401 OLD YORK RD, KLEIN BUILDING, SUITE 401
PHILADELPHIA, PA 19141
Philadelphia County (215) 329-0633
SHAHRIAR YAZDANFAR MD
Internal Medicine (Cardiovascular Disease)
5401 OLD YORK RD, KLEIN 404
PHILADELPHIA, PA 19141
Philadelphia County (215) 456-7266
DR. SARAH PERLOFF D.O.
Internal Medicine (Infectious Disease)
5401 OLD YORK RD, KLEIN BLDG. SUITE 331
PHILADELPHIA, PA 19141
Philadelphia County (215) 456-6948
CHARLOTTA SWAIN CRNP
Nurse Practitioner (Obstetrics & Gynecology)
5401 OLD YORK RD, SUITE 400
PHILADELPHIA, PA 19141
Philadelphia County (215) 456-3440
TAMIA MATTHEWS CRNP
Internal Medicine
5401 OLD YORK RD, KLEIN363
PHILADELPHIA, PA 19141
Philadelphia County (215) 456-6417
RENEE WYNN CRNP
Nurse Practitioner (Women's Health)
5401 OLD YORK RD
PHILADELPHIA, PA 19141
Philadelphia County (215) 456-8220
TAQI FT KHAN MD
Transplant Surgery
5401 OLD YORK RD, KLEIN BLDG STE 509
PHILADELPHIA, PA 19141
Philadelphia County (215) 456-4985
EINSTEIN PRACTICE PLAN, INC.
Ophthalmology
5401 OLD YORK RD, SUITE 201
PHILADELPHIA, PA 19141
Philadelphia County (215) 456-7150

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 Richard Kalman's NPI number?

The NPI number for Richard Kalman is 1184891020. It was assigned to this individual provider in the NPPES registry on May 9, 2008.

Where is Richard Kalman located?

Richard Kalman practices at 5401 Old York Rd Klein Professional Building, Suite 505, Philadelphia, PA 19141. The listed phone number is (215) 456-8242.

What is Richard Kalman's specialty?

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

Is Richard Kalman enrolled in Medicare?

Yes. Richard Kalman 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 Richard Kalman accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Richard Kalman 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 Richard Kalman affiliated with any hospitals?

According to CMS data, Richard Kalman is affiliated with Albert Einstein Medical Center and Einstein Medical Center Montgomery.

When was this NPI record last updated?

The NPPES record for Richard Kalman was last updated on July 18, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.