DR. NIKHIL REDDY KALVA M.D
NPI 1255524419
Internal Medicine - Gastroenterology in Peoria, IL

Active since August 21, 2007PECOS EnrolledAccepts Medicare Assignment
OSF SAINT FRANCIS MEDICAL CENTER, DEPARTMENT OF INTERNAL MEDICINE, PEORIA, IL 61637(309) 655-6931 Get Directions Write a Review

NPPES record last updated: May 25, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Nikhil Reddy Kalva M.d NPPES

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

DR. NIKHIL REDDY KALVA M.D (NPI 1255524419) is an individual gastroenterology provider in Peoria, Illinois, licensed in Illinois (036125322) and active in the NPI registry since August 2007. He is enrolled in Medicare PECOS, is affiliated with St Mary Medical Center, and is a graduate of Other (2004).

NPPES Registry Identity

NPI1255524419
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameDR. NIKHIL REDDY KALVACredential: M.D
Location AddressOSF SAINT FRANCIS MEDICAL CENTER, DEPARTMENT OF INTERNAL MEDICINEPeoria, IL 61637-0001
Mailing Address5105 N Glen Park Place RdPeoria, IL 61614-4675 · (309) 308-5900
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateAugust 21, 2007
Last NPPES UpdateMay 25, 2023
NPPES CertifiedMay 25, 2023
NPI 1255524419 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License Licensed in IL · 036125322
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.
OSF SAINT FRANCIS MEDICAL CENTER, Peoria, IL 61637

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. Nikhil Reddy Kalva 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 ID9739373093
PECOS Enrollment IDI20101101000036
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 14

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.

Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito G0500
Moderate sedation is a method where a physician uses medication to help you relax during a gastrointestinal endoscopy. An independent trained observer will be present to monitor your vital signs and ensure your safety throughout the procedure. It's a common and safe practice.
135 services130 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.
114 services113 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.
102 services78 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.
88 services88 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.
83 services80 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.
67 services50 patients

Hospital Affiliations CMS Care Compare 2

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

St Mary Medical Center

Acute Care Hospitals · Galesburg, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140064
Location3333 North SeminaryGalesburg, IL 61401 · Knox County
Emergency services Birthing friendly

Saint Francis Medical Center

Acute Care Hospitals · Peoria, IL
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140067
Location530 NE Glen Oak AvePeoria, IL 61637 · Peoria County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61637 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
$127.46 typical visit price
range $54.80 – $168.44
Typical copayment $31.86 (range $13.70 – $42.11)
Most-billed visit code 99204
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
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.

Other Providers at the Same Location NPPES

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

Psychiatry & Neurology (Neurology)
OSF SAINT FRANCIS MEDICAL CENTER, 530 N.E.GLEN OAK AVE.
PEORIA, FL 61637

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 Nikhil Kalva's NPI number?

The NPI number for Nikhil Kalva is 1255524419. It was assigned to this individual provider in the NPPES registry on August 21, 2007.

Where is Nikhil Kalva located?

Nikhil Kalva practices at Osf Saint Francis Medical Center Department Of Internal Medicine, Peoria, IL 61637. The listed phone number is (309) 655-6931.

What is Nikhil Kalva's specialty?

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

Is Nikhil Kalva enrolled in Medicare?

Yes. Nikhil Kalva 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 Nikhil Kalva affiliated with any hospitals?

According to CMS data, Nikhil Kalva is affiliated with St Mary Medical Center and Saint Francis Medical Center.

When was this NPI record last updated?

The NPPES record for Nikhil Kalva was last updated on May 25, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.