ROHAN KALATHIYA
NPI 1295001659
Internal Medicine - Interventional Cardiology in Baltimore, MD

Active since March 29, 2012PECOS Enrolled
97.71/100
CMS Quality Rating
301 MASON LORD DR STE 3503, BALTIMORE, MD 21224(410) 550-1973 Get Directions Write a Review

NPPES record last updated: June 28, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 24, 2022, May 19, 2022, Aug 27, 2019 and 1 more (4 updates tracked since 2017).

About Rohan Kalathiya NPPES

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

ROHAN KALATHIYA (NPI 1295001659) is an individual interventional cardiology provider in Baltimore, Maryland, licensed in Maryland (D96905) and active in the NPI registry since March 2012. He is enrolled in Medicare PECOS, is affiliated with Frederick Health Hospital, and maintains a secondary practice location in Chicago.

NPPES Registry Identity

NPI1295001659
Entity TypeIndividualMale
Primary Taxonomy207RI0011X
Provider Legal NameROHAN KALATHIYA
Location Address301 MASON LORD DR STE 3503Baltimore, MD 21224-3057
Mailing Address6201 Greenleigh AveMiddle River, MD 21220-2004 · (410) 933-6423
Sole ProprietorNo
Medical School CMSUniversity Of Kentucky College Of MedicineGraduated 2012
Enumeration DateMarch 29, 2012
Last NPPES UpdateJune 28, 20234 updates tracked since enumeration
NPPES CertifiedJune 28, 2023
✔ NPI 1295001659 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Interventional CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code207RI0011X
Licenses✔ Licensed in MD · D96905✔ Licensed in IL · 036137592
Definition
An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.
301 MASON LORD DR STE 3503, Baltimore, MD 21224

Secondary Practice Location 1

Location 15841 S Maryland AveChicago, IL 60637-1443 · Phone (888) 824-0200

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Rohan Kalathiya is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9032368824
PECOS Enrollment IDI20230506000250
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

2

Medicare enrollment records show Rohan Kalathiya reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Clinical Medical Laboratory
5501 HOPKINS BAYVIEW CIR, ROOM 1A20
Baltimore, MD 21224
  • Reassigned Medicare billing, Maryland enrollment
  • 4,483 clinicians in this Medicare group
Interventional Cardiology
600 N WOLFE ST
Baltimore, MD 21287
  • Reassigned Medicare billing, Maryland enrollment
  • 15 clinicians in this Medicare group

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 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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
843 services536 patients
Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes 99152
This procedure involves a doctor administering a medication to reduce your consciousness during a procedure. This helps in managing discomfort and anxiety. The initial application lasts for 15 minutes and is for individuals aged 5 years or older.
160 services158 patients
Insertion of tube in left lower heart chamber and coronary artery for diagnosis with review by radiologist 93458
This procedure involves placing a tube into your left lower heart chamber and coronary artery. It helps doctors diagnose heart conditions by allowing them to view these areas in detail. A radiologist will review the images to ensure accurate diagnosis.
122 services122 patients
Ultrasonic guidance for blood vessel access 76937
Ultrasonic guidance for blood vessel access is a medical procedure where sound waves are used to create images of your blood vessels. This helps doctors to accurately locate and access the vessels for treatments or tests, ensuring safety and precision.
72 services71 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.
69 services32 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.
60 services60 patients

Hospital Affiliations CMS Care Compare 4

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

Frederick Health Hospital

Acute Care Hospitals · Frederick, MD
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210005
Location400 West Seventh StFrederick, MD 21701 · Frederick County
Emergency services Birthing friendly

Johns Hopkins Hospital, The

Acute Care Hospitals · Baltimore, MD
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210009
Location600 North Wolfe StreetBaltimore, MD 21287 · Baltimore City County
Emergency services Birthing friendly

Johns Hopkins Bayview Medical Center

Acute Care Hospitals · Baltimore, MD
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210029
Location4940 Eastern AvenueBaltimore, MD 21224 · Baltimore City County
Emergency services Birthing friendly

Johns Hopkins Howard County Medical Center

Acute Care Hospitals · Columbia, MD
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210048
Location5755 Cedar LaneColumbia, MD 21044 · Howard County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21224 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
$139.05 typical visit price
range $60.73 – $183.44
Typical copayment $34.76 (range $15.18 – $45.86)
Most-billed visit code 99204
Established Patient
$106.59 typical visit price
range $19.60 – $149.17
Typical copayment $26.64 (range $4.90 – $37.29)
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.

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.

97.71/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality75.43
Promoting Interoperability100
Improvement Activities40

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 Rohan Kalathiya's NPI number?

The NPI number for Rohan Kalathiya is 1295001659. It was assigned to this individual provider in the NPPES registry on March 29, 2012.

Where is Rohan Kalathiya located?

Rohan Kalathiya practices at 301 Mason Lord Dr Ste 3503, Baltimore, MD 21224. The listed phone number is (410) 550-1973.

What is Rohan Kalathiya's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.

Is Rohan Kalathiya enrolled in Medicare?

Yes. Rohan Kalathiya is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Rohan Kalathiya's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Rohan Kalathiya reassigns Medicare benefits to 2 organizations: Johns Hopkins University (Baltimore, MD) and Johns Hopkins University (Baltimore, MD). 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 Rohan Kalathiya's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Rohan Kalathiya affiliated with any hospitals?

According to CMS data, Rohan Kalathiya is affiliated with Frederick Health Hospital, Johns Hopkins Hospital, The, Johns Hopkins Bayview Medical Center and Johns Hopkins Howard County Medical Center.

When was this NPI record last updated?

The NPPES record for Rohan Kalathiya was last updated on June 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.