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

Q: 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.

Q: What is Nishant Kalra's specialty?

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

Q: 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.

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: August 16, 2026.

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

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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 is a graduate of Other (2001).

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

Phone(616) 685-3450

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

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Other Identifiers 2

Medicaid234167AZ

Other52231434001GA · Bcbs

Accepted Insurance

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

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

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.

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

Heart muscle strain imaging 93356

Heart muscle strain imaging is a non-invasive test that uses sound waves to create pictures of your heart. It helps doctors evaluate how well your heart muscle is working and detect any damage or disease. This can aid in diagnosing heart conditions and guiding treatment plans.

44 services44 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.

41 services26 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.

37 services37 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.

33 services25 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

25 services19 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.

21 services21 patients

Ultrasound of heart, follow-up 93308

A follow-up ultrasound of the heart, also known as an echocardiogram, is a non-invasive test that uses sound waves to create images of your heart. It helps doctors monitor your heart's function and structures after initial assessment or treatment.

19 services19 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.

12 services12 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.

DR. NAVNEET SINGH MANDER M.D.

Urology

1000 E PARIS AVE SE, SUITE 230
GRAND RAPIDS, MI 49546

Kent County (616) 949-4340

GENENE EVELYN SOBOLESKI RBT

Behavior Technician

1000 E PARIS AVE SE
GRAND RAPIDS, MI 49546

Kent County (844) 854-1116

JANNAT SAKI

Behavior Technician

1000 E PARIS AVE SE
GRAND RAPIDS, MI 49546

Kent County (844) 244-1818

COBY K ODATE

Behavior Technician

1000 E PARIS AVE SE
GRAND RAPIDS, MI 49546

Kent County (844) 244-1818

JAVONTE BRIEON JACKSON RBT

Behavior Technician

1000 E PARIS AVE SE
GRAND RAPIDS, MI 49546

Kent County (844) 854-1116

SAMANTHA PRINCE

Behavior Technician

1000 E PARIS AVE SE
GRAND RAPIDS, MI 49546

Kent County (844) 244-1818

ROY W WADDELL M.D.

Orthopaedic Surgery

1000 E PARIS AVE SE, SUITE 215
GRAND RAPIDS, MI 49546

Kent County (616) 949-8945

SERENA BLASKO BEHAVIOR TECHNICIAN

Behavior Technician

1000 E PARIS AVE SE
GRAND RAPIDS, MI 49546

Kent County (844) 244-1818

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.

What insurance does Nishant Kalra accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Cross Blue Shield of Michigan Mutual Insurance Company and CareSource and 2 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.