KALPIT PANDYA MD
NPI 1265460653
Internal Medicine in Poughkeepsie, NY

Q: What is Kalpit Pandya's NPI number?

The NPI number for Kalpit Pandya is 1265460653. It was assigned to this individual provider in the NPPES registry on June 28, 2006.

Q: What is Kalpit Pandya's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Kalpit Pandya was last updated on November 18, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.

Active since June 28, 2006PECOS EnrolledAccepts Medicare Assignment

241 NORTH RD, POUGHKEEPSIE, NY 12601(845) 231-5600(845) 231-5489 Get Directions Write a Review

NPPES record last updated: November 18, 2016. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Kalpit Pandya Md NPPES

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

KALPIT PANDYA MD (NPI 1265460653) is an individual internal medicine provider in Poughkeepsie, New York, licensed in New York (233315) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Vassar Brothers Medical Center, and is a graduate of Other (2001).

NPPES Registry Identity

NPI1265460653

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameKALPIT PANDYACredential: MD

Location Address241 NORTH RDPoughkeepsie, NY 12601-1154

Mailing Address110 S Bedford Rd, Caremount Medical PcMount Kisco, NY 10549-3446 · (914) 241-1050 · Fax (914) 242-1516

Phone(845) 231-5600

Fax(845) 231-5489

Sole ProprietorNo

Medical School CMSOtherGraduated 2001

Enumeration DateJune 28, 2006

Last NPPES UpdateNovember 18, 2016

✔ NPI 1265460653 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in NY · 233315

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

241 NORTH RD, Poughkeepsie, NY 12601

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Other Identifiers 3

Medicare PINA400017594NY

Medicare PINA400116428NY

Medicare UPINI14602

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

Kalpit Pandya 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 ID5496721441

PECOS Enrollment IDI20040909001187

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

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

Nuvance Health Medical Practice PC

1.7 mi

Internal Medicine

45 READE PLACE
Poughkeepsie, NY 12601

Reassigned Medicare billing, New York enrollment
638 clinicians in this Medicare group

NPI 1437358033 (845) 475-9661

Optum Medical Care, P.C.

38 mi

Cardiovascular Disease

90 SOUTH BEDFORD RD, MT KISCO MEDICAL GROUP PC
Mount Kisco, NY 10549

Reassigned Medicare billing, New York enrollment
Medicare enrollment name: Optum Medical Care PC
1,601 clinicians in this Medicare group

NPI 1982643003 (914) 241-1050

Westchester Medical Center Advanced Physician Services PC

44 mi

Anesthesiology

100 WOODS RD, TAYLOR PAVILION - ROOM M229
Valhalla, NY 10595

Reassigned Medicare billing, New York enrollment
1,663 clinicians in this Medicare group

NPI 1740687458 (914) 493-2844

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 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 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.

1,206 services409 patients

Hospital discharge day management, more than 30 minutes 99239

Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.

246 services231 patients

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.

78 services56 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.

12 services12 patients

Hospital discharge day management, 30 minutes or less 99238

Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.

11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Vassar Brothers Medical Center

Acute Care Hospitals · Poughkeepsie, NY

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330023

Location45 Reade PlacePoughkeepsie, NY 12601 · Dutchess County

Emergency services Birthing friendly

Northern Dutchess Hospital

Acute Care Hospitals · Rhinebeck, NY

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330049

Location6511 Springbrook AvenueRhinebeck, NY 12572 · Dutchess County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 12601 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

$141.77 typical visit price

range $61.88 – $187.05

Typical copayment $35.44 (range $15.47 – $46.76)

Most-billed visit code 99204

Established Patient

$108.56 typical visit price

range $19.92 – $151.94

Typical copayment $27.14 (range $4.98 – $37.98)

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.

Referred Medical Equipment & Supplies CMS DME claims 7

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4035

Other-Enteral and Parenteral · category OB006N

1 supplier11 claims341 services$3.77 avg. paid by Medicare

Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4152

Other-Enteral and Parenteral · category OB006N

1 supplier11 claims4,884 services$0.26 avg. paid by Medicare

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260

DME-Hospital Beds · category DB000N

1 supplier19 claims19 services$41.81 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

1 supplier15 claims15 services$14.47 avg. paid by Medicare

Transport chair, adult size, patient weight capacity up to and including 300 pounds E1038

DME-Other DME · category DE000N

1 supplier13 claims13 services$8.34 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

2 suppliers57 claims57 services$68.72 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. HARISH KUMAR GOLI M.D

Pathology (Anatomic Pathology & Clinical Pathology)