DR. SUMITA K KALRA DO
NPI 1194856112
Family Medicine in Modesto, CA
About Dr. Sumita K Kalra Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. SUMITA K KALRA DO (NPI 1194856112) is an individual family medicine provider in Modesto, California, licensed in California (20A9428) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2004).
NPPES Registry Identity
Specialties & Licenses
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
Dr. Sumita K Kalra Do 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.
Medicare Billing Reassignments
2Medicare enrollment records show Sumita Kalra reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Newark, CA 94560
- Reassigned Medicare billing, California enrollment
- 900 clinicians in this Medicare group
San Mateo, CA 94403
- Reassigned Medicare billing, California enrollment
- 430 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 95350 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims 2
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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.
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 Sumita Kalra's NPI number?
The NPI number for Sumita Kalra is 1194856112. It was assigned to this individual provider in the NPPES registry on March 8, 2007.
Where is Sumita Kalra located?
Sumita Kalra practices at 830 Scenic Dr, Modesto, CA 95350. The listed phone number is (707) 373-2397.
What is Sumita Kalra's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Sumita Kalra enrolled in Medicare?
Yes. Sumita Kalra 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 Sumita Kalra's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Sumita Kalra reassigns Medicare benefits to 2 organizations: Alameda Health System (Newark, CA) and County Of San Mateo (San Mateo, 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 Sumita Kalra'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 Sumita Kalra was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.