DISHA KARAN KALARIA CRNP
NPI 1215569322
Nurse Practitioner - Family in Fairless Hills, PA

Active since February 06, 2020PECOS EnrolledAccepts Medicare Assignment
82.57/100
CMS Quality Rating
504 S OXFORD VALLEY RD, FAIRLESS HILLS, PA 19030(866) 389-2727 Get Directions Write a Review

NPPES record last updated: July 22, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 22, 2026, Dec 14, 2021, Feb 6, 2020 (3 updates tracked since 2020).

About Disha Karan Kalaria Crnp NPPES

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

DISHA KARAN KALARIA CRNP (NPI 1215569322) is an individual family provider in Fairless Hills, Pennsylvania, licensed in Pennsylvania (SP021298) and active in the NPI registry since February 2020. She is enrolled in Medicare PECOS, maintains a secondary practice location in Philadelphia, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1215569322
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameDISHA KARAN KALARIACredential: CRNP
Location Address504 S OXFORD VALLEY RDFairless Hills, PA 19030-2615
Mailing Address504 S Oxford Valley RdFairless Hills, PA 19030-2615 · (866) 389-2727
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateFebruary 6, 2020
Last NPPES UpdateJuly 22, 20263 updates tracked since enumeration
NPPES CertifiedJuly 22, 2026
✔ NPI 1215569322 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses✔ Licensed in PA · SP021298✔ Licensed in CT · 17499✔ Licensed in NJ · 26NJ01017400✔ Licensed in NY · 359777
504 S OXFORD VALLEY RD, Fairless Hills, PA 19030

Secondary Practice Location 1

Location 12418 E York StPhiladelphia, PA 19125-3006 · Phone (888) 803-3370

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

Disha Karan Kalaria Crnp 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 ID2365871779
PECOS Enrollment IDI20200407000794
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

5

Medicare enrollment records show Disha Kalaria reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family
1218 E LANCASTER AVE
Bryn Mawr, PA 19010
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 168 clinicians in this Medicare group
Family
307 EGG HARBOR RD
Sewell, NJ 08080
  • Reassigned Medicare billing, New Jersey enrollment
  • 243 clinicians in this Medicare group
Urgent Care
150 E PENNSYLVANIA AVE, SUITE 140
Downingtown, PA 19335
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 172 clinicians in this Medicare group
Family
1 CVS DR
Woonsocket, RI 02895
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 122 clinicians in this Medicare group
Family Medicine
400 N TAMPA ST FL 15
Tampa, FL 33602
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 32 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 4

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.

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.
19 services19 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.
17 services15 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
11 services11 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19030 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
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
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.

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.

82.57/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality72.87
Improvement Activities40
Cost91.65

Other Providers at the Same Location NPPES 10

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

Pharmacist
504 S OXFORD VALLEY RD
FAIRLESS HILLS, PA 19030
Pharmacist
504 S OXFORD VALLEY RD
FAIRLESS HILLS, PA 19030
Pharmacist
504 S OXFORD VALLEY RD
FAIRLESS HILLS, PA 19030
Nurse Practitioner (Family)
504 S OXFORD VALLEY RD
FAIRLESS HILLS, PA 19030
Pharmacist
504 S OXFORD VALLEY RD
FAIRLESS HILLS, PA 19030
Pharmacist
504 S OXFORD VALLEY RD
FAIRLESS HILLS, PA 19030
Pharmacy
504 S OXFORD VALLEY RD
FAIRLESS HILL, PA 19030
Pharmacist
504 S OXFORD VALLEY RD
FAIRLESS HILLS, PA 19030

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 Disha Kalaria's NPI number?

The NPI number for Disha Kalaria is 1215569322. It was assigned to this individual provider in the NPPES registry on February 6, 2020.

Where is Disha Kalaria located?

Disha Kalaria practices at 504 S Oxford Valley Rd, Fairless Hills, PA 19030. The listed phone number is (866) 389-2727.

What is Disha Kalaria's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Disha Kalaria enrolled in Medicare?

Yes. Disha Kalaria 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 Disha Kalaria's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Disha Kalaria reassigns Medicare benefits to 5 organizations: Minuteclinic Diagnostic Of Pennsylvania LLC (Bryn Mawr, PA), Minuteclinic Diagnostic Of New Jersey LLC (Sewell, NJ), Pennsylvania Urgent Care Centers, PLLC (Downingtown, PA), Minuteclinic Video Virtual Care, PLLC (Woonsocket, RI) and Circle Medical Care Group PA (Tampa, FL). 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 Disha Kalaria'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 Disha Kalaria was last updated on July 22, 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.