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BHARATI KALGI MD
NPI 1255869772
Pediatrics in Macungie, PA

Active since May 29, 2017PECOS Enrolled
3371 ROUTE 100, MACUNGIE, PA 18062(610) 336-8277 Get Directions Write a Review

NPPES record last updated: November 19, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 19, 2024, May 26, 2023, Mar 17, 2018 and 2 more (5 updates tracked since 2017).

About Bharati Kalgi Md NPPES

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

BHARATI KALGI MD (NPI 1255869772) is an individual pediatrics provider in Macungie, Pennsylvania, licensed in Pennsylvania (MD475653) and active in the NPI registry since May 2017. She is enrolled in Medicare PECOS and maintains a secondary practice location in Brooklyn.

NPPES Registry Identity

NPI1255869772
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameBHARATI KALGICredential: MD
Location Address3371 ROUTE 100Macungie, PA 18062-9613
Mailing Address1401 Newkirk AveBrooklyn, NY 11226-6521 · (718) 283-1600
Phone(610) 336-8277
Sole ProprietorNo
Enumeration DateMay 29, 2017
Last NPPES UpdateNovember 19, 20245 updates tracked since enumeration
NPPES CertifiedNovember 19, 2024
✔ NPI 1255869772 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Licenses✔ Licensed in PA · MD475653✔ Licensed in NY · 311695
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License P05936 (NY)
3371 ROUTE 100, Macungie, PA 18062
Open in Google Maps ↗

Secondary Practice Location 1

Location 14802 10th AveBrooklyn, NY 11219-2916 · Phone (718) 635-7979

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bharati Kalgi Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

3

Medicare enrollment records show Bharati Kalgi reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Lehigh Valley Physician Group
Same address
Family Medicine
3371 STATE ROUTE 100
Macungie, PA 18062
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 2,895 clinicians in this Medicare group
NPI 1124379953 (610) 967-2772
Valley Health Partners Community Health Center
6.8 mi
Federally Qualified Health Center (FQHC)
400 N 17TH ST STE 300
Allentown, PA 18104
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 296 clinicians in this Medicare group
NPI 1912532888 (610) 969-4300
Family Care Centers Inc
39 mi
Family Medicine
200 E BROWN ST
East Stroudsburg, PA 18301
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 500 clinicians in this Medicare group
NPI 1316409626 (570) 476-3700

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 18062 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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 2

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

MAHAK CHOPRA
Pediatrics (Pediatric Emergency Medicine)
3371 ROUTE 100
MACUNGIE, PA 18062
Lehigh County (610) 336-8277
CLAUDIA FERRAN M.D.
Family Medicine
3371 ROUTE 100
MACUNGIE, PA 18062
Lehigh County (610) 967-2772

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 Bharati Kalgi's NPI number?

The NPI number for Bharati Kalgi is 1255869772. It was assigned to this individual provider in the NPPES registry on May 29, 2017.

Where is Bharati Kalgi located?

Bharati Kalgi practices at 3371 Route 100, Macungie, PA 18062. The listed phone number is (610) 336-8277.

What is Bharati Kalgi's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Bharati Kalgi enrolled in Medicare?

Yes. Bharati Kalgi is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Bharati Kalgi's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Bharati Kalgi reassigns Medicare benefits to 3 organizations: Lehigh Valley Physician Group (Macungie, PA), Valley Health Partners Community Health Center (Allentown, PA) and Family Care Centers Inc (East Stroudsburg, PA). 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 Bharati Kalgi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Bharati Kalgi accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Bharati Kalgi 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.

When was this NPI record last updated?

The NPPES record for Bharati Kalgi was last updated on November 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.