NELLIE KALCHEVA M.D.
NPI 1255326294
Internal Medicine - Cardiovascular Disease in New York, NY

Active since September 15, 2005PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
530 1ST AVE, HCC 13, NEW YORK, NY 10016(212) 263-7751 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Nellie Kalcheva M.d. NPPES

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

NELLIE KALCHEVA M.D. (NPI 1255326294) is an individual cardiovascular disease provider in New York, New York, licensed in New York (223008) and active in the NPI registry since September 2005. She is enrolled in Medicare PECOS, is affiliated with New York-presbyterian Hospital, and is a graduate of Other (1989).

NPPES Registry Identity

NPI1255326294
Entity TypeIndividualFemale
Primary Taxonomy207RC0000X
Provider Legal NameNELLIE KALCHEVACredential: M.D.
Location Address530 1ST AVE, HCC 13New York, NY 10016-6402
Mailing Address530 1st Ave, Hcc 13New York, NY 10016-6402 · (212) 263-7751
Medical School CMSOtherGraduated 1989
Enumeration DateSeptember 15, 2005
Last NPPES UpdateJuly 8, 2007
NPI 1255326294 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License Licensed in NY · 223008
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
530 1ST AVE, New York, NY 10016

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

Nellie Kalcheva 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 ID3173542099
PECOS Enrollment IDI20051121000042
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 5

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 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.
179 services54 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.
71 services33 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
48 services19 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.
28 services28 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.
17 services11 patients

Hospital Affiliations CMS Care Compare

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

New York-Presbyterian Hospital

Acute Care Hospitals · New York, NY
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330101
Location525 East 68th StreetNew York, NY 10065 · New York County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10016 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
$150.24 typical visit price
range $65.69 – $198.19
Typical copayment $37.56 (range $16.42 – $49.54)
Most-billed visit code 99204
Established Patient
$81.44 typical visit price
range $21.20 – $160.66
Typical copayment $20.36 (range $5.30 – $40.16)
Most-billed visit code 99213
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.8
Promoting Interoperability100
Improvement Activities40

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.

Pediatrics
530 1ST AVE, SUITE 7A
NEW YORK, NY 10016
Physician Assistant (Medical)
530 1ST AVE
NEW YORK, NY 10016
Nurse Practitioner (Acute Care)
530 1ST AVE, SUITE 9V
NEW YORK, NY 10016
Nurse Practitioner (Family)
530 1ST AVE, SUITE 10Q
NEW YORK, NY 10016
Nurse Practitioner (Acute Care)
530 1ST AVE, SUITE 9V
NEW YORK, NY 10016
Plastic Surgery
530 1ST AVE, SUITE 8Y
NEW YORK, NY 10016
Internal Medicine (Medical Oncology)
530 1ST AVE
NEW YORK, NY 10016
Thoracic Surgery (Cardiothoracic Vascular Surgery)
530 1ST AVE, SUITE 9V
NEW YORK, NY 10016

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 Nellie Kalcheva's NPI number?

The NPI number for Nellie Kalcheva is 1255326294. It was assigned to this individual provider in the NPPES registry on September 15, 2005.

Where is Nellie Kalcheva located?

Nellie Kalcheva practices at 530 1st Ave Hcc 13, New York, NY 10016. The listed phone number is (212) 263-7751.

What is Nellie Kalcheva's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Nellie Kalcheva enrolled in Medicare?

Yes. Nellie Kalcheva 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.

Is Nellie Kalcheva affiliated with any hospitals?

According to CMS data, Nellie Kalcheva is affiliated with New York-Presbyterian Hospital.

When was this NPI record last updated?

The NPPES record for Nellie Kalcheva was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.