NISHANT KALRA MD
NPI 1316146236
Internal Medicine - Interventional Cardiology in Grand Rapids, MI

Active since July 11, 2007PECOS EnrolledAccepts Medicare Assignment
1000 E PARIS AVE SE, SUITE 200, GRAND RAPIDS, MI 49546(616) 685-3450 Get Directions Write a Review

NPPES record last updated: December 7, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Dec 7, 2020, Mar 12, 2019, Jan 17, 2018 and 1 more (4 updates tracked since 2016).

About Nishant Kalra Md NPPES

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

NISHANT KALRA MD (NPI 1316146236) is an individual interventional cardiology provider in Grand Rapids, Michigan, licensed in Ohio (35.125165) and active in the NPI registry since July 2007. He is enrolled in Medicare PECOS, is affiliated with Wilson Memorial Hospital, and maintains a secondary practice location in Grand Rapids.

NPPES Registry Identity

NPI1316146236
Entity TypeIndividualMale
Primary Taxonomy207RI0011X
Provider Legal NameNISHANT KALRACredential: MD
Location Address1000 E PARIS AVE SE, SUITE 200Grand Rapids, MI 49546-3691
Mailing AddressPo Box 2119Elizabethtown, KY 42702-2119 · (270) 765-5921 · Fax (270) 506-1056
Sole ProprietorNo
Medical School CMSOtherGraduated 2001
Enumeration DateJuly 11, 2007
Last NPPES UpdateDecember 7, 20204 updates tracked since enumeration
NPPES CertifiedDecember 7, 2020
✔ NPI 1316146236 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Interventional CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code207RI0011X
Licenses✔ Licensed in OH · 35.125165✔ Licensed in KY · 42578
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.
Also ListedInternal MedicineTaxonomy 207R00000X · License 4301083175 (MI)
Also ListedHospitalistTaxonomy 208M00000X · License 37199 (AZ), 42578 (KY)
1000 E PARIS AVE SE, Grand Rapids, MI 49546

Secondary Practice Location 1

Location 11000 E Paris Ave SE, Suite 200Grand Rapids, MI 49546-3691 · Phone (616) 685-3450

Other Identifiers 2

Medicaid234167AZ
Other52231434001GA · Bcbs

Accepted Insurance

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

Nishant Kalra 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 ID3072605807
PECOS Enrollment IDI20170712004051
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

9

Medicare enrollment records show Nishant Kalra reassigns Medicare billing to 9 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Multi-Specialty
200 JEFFERSON SE
Grand Rapids, MI 49503
  • Reassigned Medicare billing, Michigan enrollment
  • 737 clinicians in this Medicare group
Internal Medicine
1521 GULL RD
Kalamazoo, MI 49048
  • Reassigned Medicare billing, Michigan enrollment
  • 596 clinicians in this Medicare group
Family Medicine
272 BENEDICT AVENUE
Norwalk, OH 44857
  • Reassigned Medicare billing, Ohio enrollment
  • 137 clinicians in this Medicare group
Family Medicine
915 W. MICHIGAN STREET, SUITE 204
Sidney, OH 45365
  • Reassigned Medicare billing, Ohio enrollment
  • 69 clinicians in this Medicare group
Cardiovascular Disease
3130 N DIXIE HWY, SUITE 201
Troy, OH 45373
  • Reassigned Medicare billing, Ohio enrollment
  • 812 clinicians in this Medicare group
General Acute Care Hospital
2420 LAKE AVE
Ashtabula, OH 44004
  • Reassigned Medicare billing, Ohio enrollment
  • 177 clinicians in this Medicare group
Family Medicine
610 W MAIN ST
Wilmington, OH 45177
  • Reassigned Medicare billing, Ohio enrollment
  • 74 clinicians in this Medicare group
Internal Medicine
850 W BARAGA AVE
Marquette, MI 49855
  • Reassigned Medicare billing, Michigan enrollment
  • Medicare enrollment name: Apogee Medical Group Michigan PC
  • 143 clinicians in this Medicare group
Hospitalist
600 WILSON CREEK RD
Lawrenceburg, IN 47025
  • Reassigned Medicare billing, Indiana enrollment
  • 39 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 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.

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.
333 services259 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
123 services123 patients
Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician 93016
An exercise or drug-induced heart stress test with ECG involves monitoring your heart's activity while it's under stress, either from exercise or medication. A doctor supervises the entire procedure to ensure safety and accuracy in results. This test helps detect heart problems.
51 services51 patients
Nuclear medicine studies of heart muscle at rest and with stress and spect 78452
Nuclear medicine studies of the heart involve two parts: rest and stress. During rest, images are taken of your heart at ease. During stress, images are taken after exercise or medication-induced stress. SPECT is a special imaging technique providing 3D pictures of your heart, helping identify any issues.
50 services50 patients
Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician 93018
An exercise or drug-induced heart stress test with ECG is a procedure to assess how your heart functions under stress. It can involve exercising or medication to make your heart work harder while an ECG records its activity. A physician reviews the results.
50 services50 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.
48 services36 patients

Hospital Affiliations CMS Care Compare 2

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

Wilson Memorial Hospital

Acute Care Hospitals · Sidney, OH
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360013
Location915 West Michigan StreetSidney, OH 45365 · Shelby County
Emergency services Birthing friendly

Upper Valley Medical Center

Acute Care Hospitals · Troy, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360174
Location3130 North County Road 25ATroy, OH 45373 · Miami County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49546 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
$126.15 typical visit price
range $54.34 – $166.68
Typical copayment $31.53 (range $13.58 – $41.67)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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 20

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

Urology
1000 E PARIS AVE SE, SUITE 230
GRAND RAPIDS, MI 49546
Behavior Technician
1000 E PARIS AVE SE
GRAND RAPIDS, MI 49546
Behavior Technician
1000 E PARIS AVE SE
GRAND RAPIDS, MI 49546
Behavior Technician
1000 E PARIS AVE SE
GRAND RAPIDS, MI 49546
Behavior Technician
1000 E PARIS AVE SE
GRAND RAPIDS, MI 49546
Behavior Technician
1000 E PARIS AVE SE
GRAND RAPIDS, MI 49546
Orthopaedic Surgery
1000 E PARIS AVE SE, SUITE 215
GRAND RAPIDS, MI 49546
Behavior Technician
1000 E PARIS AVE SE
GRAND RAPIDS, MI 49546

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 Nishant Kalra's NPI number?

The NPI number for Nishant Kalra is 1316146236. It was assigned to this individual provider in the NPPES registry on July 11, 2007.

Where is Nishant Kalra located?

Nishant Kalra practices at 1000 E Paris Ave SE Suite 200, Grand Rapids, MI 49546. The listed phone number is (616) 685-3450.

What is Nishant Kalra's specialty?

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

Is Nishant Kalra enrolled in Medicare?

Yes. Nishant Kalra 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.

Which organizations bill Medicare for Nishant Kalra's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nishant Kalra reassigns Medicare benefits to 9 organizations: Advantage Health Saint Mary's Medical Group (Grand Rapids, MI), Sound Inpatient Physicians-Michigan, PLLC (Kalamazoo, MI), Fisher-Titus Medical Care LLC (Norwalk, OH), Wilson Care, LLC (Sidney, OH), Premier Health Specialists Inc (Troy, OH) and 4 more organizations, listed in the Medicare section above. 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 Nishant Kalra's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nishant Kalra accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 4 other insurers list Nishant Kalra 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 Nishant Kalra affiliated with any hospitals?

According to CMS data, Nishant Kalra is affiliated with Wilson Memorial Hospital and Upper Valley Medical Center.

When was this NPI record last updated?

The NPPES record for Nishant Kalra was last updated on December 7, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.