KALPANA RAO KALAHASTHY MD
NPI 1255389375
Specialist in Palm Beach Gardens, FL

Q: What is Kalpana Kalahasthy's NPI number?

The NPI number for Kalpana Kalahasthy is 1255389375. It was assigned to this individual provider in the NPPES registry on May 4, 2006.

Q: What is Kalpana Kalahasthy's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Active since May 04, 2006PECOS EnrolledAccepts Medicare Assignment

75/100

CMS Quality Rating

3355 BURNS RD, SUITE 306, PALM BEACH GARDENS, FL 33410(561) 630-5640(561) 630-2892 Get Directions Write a Review

NPPES record last updated: April 11, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Kalpana Rao Kalahasthy Md NPPES

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

KALPANA RAO KALAHASTHY MD (NPI 1255389375) is an individual specialist in Palm Beach Gardens, Florida, licensed in Florida (ME82696) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS, is affiliated with Cleveland Clinic Martin North Hospital, and is a graduate of Other (1994).

NPPES Registry Identity

NPI1255389375

Entity TypeIndividualFemale

Primary Taxonomy174400000X

Provider Legal NameKALPANA RAO KALAHASTHYCredential: MD

Location Address3355 BURNS RD, SUITE 306Palm Beach Gardens, FL 33410-4353

Mailing Address3355 Burns Rd, Suite 306Palm Beach Gardens, FL 33410-4353 · (561) 630-5640 · Fax (561) 630-2892

Phone(561) 630-5640

Fax(561) 630-2892

Sole ProprietorNo

Medical School CMSOtherGraduated 1994

Enumeration DateMay 4, 2006

Last NPPES UpdateApril 11, 2008

✔ NPI 1255389375 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in FL · ME82696

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

3355 BURNS RD, Palm Beach Gardens, FL 33410

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Other Identifiers 1

Medicare UPINH42490FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.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

Kalpana Rao Kalahasthy Md 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 ID5092799098

PECOS Enrollment IDI20040616001365

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 16

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 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.

849 services554 patients

Injection, propofol, 10 mg J2704

Propofol is a medication given via injection to help you relax or sleep during surgery or other medical procedures. The 10 mg dosage refers to the amount of medication you'll receive. It's administered by a healthcare professional and monitored closely for safety.

660 services28 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.

403 services113 patients

Biopsy of large bowel using a flexible endoscope 45380

A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.

267 services263 patients

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239

This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.

225 services200 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.

177 services156 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.

152 services149 patients

Infusion, normal saline solution , 1000 cc J7030

An infusion of normal saline solution, 1000 cc, is a common medical procedure. It involves introducing a saltwater solution into your bloodstream via an intravenous (IV) line. This helps to hydrate your body, correct electrolyte imbalances, and deliver medications if needed.

146 services142 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

138 services138 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.

135 services135 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.

87 services75 patients

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239

34 services30 patients

Biopsy of large bowel using a flexible endoscope 45380

22 services22 patients

Diagnostic exam of large bowel using a flexible endoscope 45378

This procedure, known as a colonoscopy, involves using a flexible tube with a light and camera to examine the large intestine. It helps detect any abnormalities such as polyps or inflammation. It's a standard procedure to ensure gut health.

21 services21 patients

Imaging of digestive tract done from the inside of the digestive tract 91110

This procedure, known as an endoscopy, involves a small camera being passed into the digestive tract. It helps doctors to see the inside of your digestive system in detail. This can aid in diagnosing conditions or planning treatments. It's generally safe and can provide valuable information.

14 services14 patients

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385

13 services12 patients

Hospital Affiliations CMS Care Compare 4

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

Cleveland Clinic Martin North Hospital

Acute Care Hospitals · Stuart, FL

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100044

Location200 SE Hospital AveStuart, FL 34994 · Martin County

Emergency services Birthing friendly

Palm Beach Gardens Medical Center

Acute Care Hospitals · Palm Beach Gardens, FL

1/5 CMS rating

OwnershipProprietary

CMS Certification Number100176

Location3360 Burns RdPalm Beach Gardens, FL 33410 · Palm Beach County

Emergency services

Jupiter Medical Center

Acute Care Hospitals · Jupiter, FL

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100253

Location1210 S Old Dixie HwyJupiter, FL 33458 · Palm Beach County

Emergency services Birthing friendly

Good Samaritan Medical Center

Acute Care Hospitals · West Palm Beach, FL

1/5 CMS rating

OwnershipProprietary

CMS Certification Number100287

Location1309 N Flagler DrWest Palm Beach, FL 33401 · Palm Beach County

Emergency services Birthing friendly

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.

75/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

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.

Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4034

Other-Enteral and Parenteral · category OB006N

2 suppliers11 claims314 services$2.71 avg. paid by Medicare

Enteral formula, manufactured blenderized natural foods with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4149

Other-Enteral and Parenteral · category OB006N

2 suppliers11 claims5,417 services$0.87 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.

DR. ROBERT KENT ROSENBERG M.D.

Plastic Surgery

3355 BURNS RD, SUITE 305
PALM BEACH GARDENS, FL 33410

Palm Beach County (561) 622-4944

CENTER FOR ARTIFICIAL DISC REPLACEMENT LLC

Orthopaedic Surgery

3355 BURNS RD, SUITE304
PALM BEACH GARDENS, FL 33410

Palm Beach County (855) 853-6542

ORTHOPEDIC AND SPINE SURGERY, LLC

Orthopaedic Surgery

3355 BURNS RD, SUITE 304
PALM BEACH GARDENS, FL 33410

Palm Beach County (561) 630-1611

PEDIATRIC DERMATOLOGY OF THE PALM BEACHES

Specialist

3355 BURNS RD, SUITE 204
PALM BEACH GARDENS, FL 33410

Palm Beach County (561) 804-7546

MEREDITH BRADLEY AU. D

Audiologist

3355 BURNS RD
PALM BEACH GARDENS, FL 33410

Palm Beach County (561) 691-3373

DR. FRANK VICTOR CUSTURERI MD

Internal Medicine

3355 BURNS RD, SUITE 206
PALM BEACH GARDENS, FL 33410

Palm Beach County (561) 627-3818

DONALD ZELLER M.D.

Pathology (Anatomic Pathology & Clinical Pathology)

3355 BURNS RD, SUITE 105
PALM BEACH GARDENS, FL 33410

Palm Beach County (561) 775-7968

DR. RICHARD A WEINSTOCK D.O.

Otolaryngology (Otolaryngology/Facial Plastic Surgery)

3355 BURNS RD, SUITE 104
PALM BEACH GARDENS, FL 33410

Palm Beach County (561) 691-4144

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 Kalpana Kalahasthy's NPI number?

The NPI number for Kalpana Kalahasthy is 1255389375. It was assigned to this individual provider in the NPPES registry on May 4, 2006.

Where is Kalpana Kalahasthy located?

Kalpana Kalahasthy practices at 3355 Burns Rd Suite 306, Palm Beach Gardens, FL 33410. The listed phone number is (561) 630-5640.

What is Kalpana Kalahasthy's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Kalpana Kalahasthy enrolled in Medicare?

Yes. Kalpana Kalahasthy 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 Kalpana Kalahasthy accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, AvMed and Florida Blue (BlueCross BlueShield FL) and 3 other insurers list Kalpana Kalahasthy 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 Kalpana Kalahasthy affiliated with any hospitals?

According to CMS data, Kalpana Kalahasthy is affiliated with Cleveland Clinic Martin North Hospital, Palm Beach Gardens Medical Center, Jupiter Medical Center and Good Samaritan Medical Center.

When was this NPI record last updated?

The NPPES record for Kalpana Kalahasthy was last updated on April 11, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.