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HARENDER KUMAR KALONIA M.D
NPI 1346626355
Internal Medicine in Albuquerque, NM

Active since August 03, 2015PECOS EnrolledAccepts Medicare Assignment
91.41/100
CMS Quality Rating
1100 CENTRAL AVE SE, ALBUQUERQUE, NM 87106(505) 724-6124 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 13, 2026, Apr 14, 2021, Jul 17, 2018 and 1 more (4 updates tracked since 2018).

About Harender Kumar Kalonia M.d NPPES

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

HARENDER KUMAR KALONIA M.D (NPI 1346626355) is an individual internal medicine provider in Albuquerque, New Mexico, licensed in New Mexico (MD2026-0171) and active in the NPI registry since August 2015. He is enrolled in Medicare PECOS, is affiliated with Medstar Montgomery Medical Center, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1346626355
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameHARENDER KUMAR KALONIACredential: M.D
Location Address1100 CENTRAL AVE SEAlbuquerque, NM 87106-4930
Mailing AddressPo Box 26666, Phs Provider EnrollmentAlbuquerque, NM 87125-6666 · (505) 724-6124
Phone(505) 724-6124
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateAugust 3, 2015
Last NPPES UpdateJuly 13, 20264 updates tracked since enumeration
NPPES CertifiedJuly 13, 2026
✔ NPI 1346626355 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NM · MD2026-0171
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.
Also ListedHospitalistTaxonomy 208M00000X · License 294515 (NY), 286675 (MA)
1100 CENTRAL AVE SE, Albuquerque, NM 87106
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Taro Health.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

Harender Kumar Kalonia M.d 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 ID6901154194
PECOS Enrollment IDI20230720000577, I20230720001157
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

5

Medicare enrollment records show Harender Kalonia reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Presbyterian Healthcare Services
0.1 mi
General Acute Care Hospital
1100 CENTRAL SE
Albuquerque, NM 87106
  • Reassigned Medicare billing, New Mexico enrollment
  • 2,331 clinicians in this Medicare group
NPI 1215913470 (505) 841-1234
Rochester General Hospital
1,642 mi
Family Medicine
181 LOMB MEMORIAL DR
Rochester, NY 14623
  • Reassigned Medicare billing, New York enrollment
  • 2,285 clinicians in this Medicare group
NPI 1174990303 (585) 922-3100
Medstar Medical Group II LLC
1,649 mi
Critical Care Medicine
3800 RESERVOIR RD NW
Washington, DC 20007
  • Reassigned Medicare billing, District of Columbia and Maryland enrollments
  • Also billed through NPI 1376887844 (Maryland)
  • 3,530 clinicians in this Medicare group
NPI 1205562816 (703) 558-1403
Clifton Springs Sanitarium Co
1,667 mi
General Acute Care Hospital
2 COULTER RD
Clifton Springs, NY 14432
  • Reassigned Medicare billing, New York enrollment
  • 872 clinicians in this Medicare group
NPI 1366505463 (315) 462-9561
Newark Wayne Community Hospital
1,670 mi
General Acute Care Hospital
1200 DRIVING PARK AVE
Newark, NY 14513
  • Reassigned Medicare billing, New York enrollment
  • 679 clinicians in this Medicare group
NPI 1346369212 (315) 332-2022

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 7

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 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.
670 services275 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.
136 services131 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.
96 services94 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.
69 services69 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.
65 services39 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.
36 services31 patients

Hospital Affiliations CMS Care Compare 2

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

Medstar Montgomery Medical Center

Acute Care Hospitals · Olney, MD
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210018
Location18101 Prince Philip DriveOlney, MD 20832 · Montgomery County
Emergency services Birthing friendly

Presbyterian Hospital

Acute Care Hospitals · Albuquerque, NM
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number320021
Location1100 Central Avenue SEAlbuquerque, NM 87106 · Bernalillo County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 87106 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
$126.21 typical visit price
range $54.26 – $166.80
Typical copayment $31.55 (range $13.56 – $41.70)
Most-billed visit code 99204
Established Patient
$96.38 typical visit price
range $17.00 – $135.35
Typical copayment $24.09 (range $4.25 – $33.83)
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.

91.41/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality76.87
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 3

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers14 claims14 services$16.43 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
2 suppliers14 claims14 services$3.61 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 suppliers23 claims23 services$84.55 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.

AUDRA DAWN CLEMENS PA-C
Physician Assistant
1100 CENTRAL AVE SE
ALBUQUERQUE, NM 87106
Bernalillo County (505) 724-6124
STEFANIE LEIGH RAITT PHARMD, PHC
Pharmacist (Pharmacotherapy)
1100 CENTRAL AVE SE
ALBUQUERQUE, NM 87106
Bernalillo County (505) 681-4154
SARAH VERTREES D.O.
Pediatrics
1100 CENTRAL AVE SE, PMG PEDIATRIC URGENT CARE
ALBUQUERQUE, NM 87106
Bernalillo County (505) 841-1819
NICHOLAS WEISS D.O.
Emergency Medicine
1100 CENTRAL AVE SE, EMERGENCY MEDICINE
ALBUQUERQUE, NM 87106
Bernalillo County (505) 841-1125
LUKE EZEKIEL GLAZENER PA-C
Physician Assistant
1100 CENTRAL AVE SE
ALBUQUERQUE, NM 87106
Bernalillo County (505) 841-1125
SARAH LEW CRNA
Nurse Anesthetist, Certified Registered
1100 CENTRAL AVE SE
ALBUQUERQUE, NM 87106
Bernalillo County (505) 841-1234
NATALEE TRUEBA CCHW
Community Health Worker
1100 CENTRAL AVE SE
ALBUQUERQUE, NM 87106
Bernalillo County (505) 554-8161
PATRICIA MARY HERSON C.R.N.P.
Nurse Practitioner (Gerontology)
1100 CENTRAL AVE SE, PALLIATIVE CARE
ALBUQUERQUE, NM 87106
Bernalillo County (505) 252-7393

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 Harender Kalonia's NPI number?

The NPI number for Harender Kalonia is 1346626355. It was assigned to this individual provider in the NPPES registry on August 3, 2015.

Where is Harender Kalonia located?

Harender Kalonia practices at 1100 Central Ave SE, Albuquerque, NM 87106. The listed phone number is (505) 724-6124.

What is Harender Kalonia's specialty?

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

Is Harender Kalonia enrolled in Medicare?

Yes. Harender Kalonia 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 Harender Kalonia's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Harender Kalonia reassigns Medicare benefits to 5 organizations: Presbyterian Healthcare Services (Albuquerque, NM), Rochester General Hospital (Rochester, NY), Medstar Medical Group II LLC (Washington, DC), Clifton Springs Sanitarium Co (Clifton Springs, NY) and Newark Wayne Community Hospital (Newark, NY). 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 Harender Kalonia's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Harender Kalonia accept?

Health plans from Taro Health list Harender Kalonia 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 Harender Kalonia affiliated with any hospitals?

According to CMS data, Harender Kalonia is affiliated with Medstar Montgomery Medical Center and Presbyterian Hospital.

When was this NPI record last updated?

The NPPES record for Harender Kalonia was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.