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DR. PANKAJ BHIKHALAL KALARIA MD
NPI 1366595738
Internal Medicine in Chattanooga, TN

Active since January 19, 2007PECOS EnrolledAccepts Medicare Assignment
6401 SHALLOWFORD RD, CHATTANOOGA, TN 37421(423) 893-6500(629) 224-5044 Get Directions Write a Review

NPPES record last updated: May 26, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Pankaj Bhikhalal Kalaria Md NPPES

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

DR. PANKAJ BHIKHALAL KALARIA MD (NPI 1366595738) is an individual internal medicine provider in Chattanooga, Tennessee, licensed in Georgia (038327) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS, is affiliated with Erlanger Medical Center, and is a graduate of Other (1979).

NPPES Registry Identity

NPI1366595738
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. PANKAJ BHIKHALAL KALARIACredential: MD
Location Address6401 SHALLOWFORD RDChattanooga, TN 37421
Mailing Address6401 Shallowford RdChattanooga, TN 37421 · (423) 893-6500 · Fax (629) 224-5044
Phone(423) 893-6500
Fax(629) 224-5044
Sole ProprietorNo
Medical School CMSOtherGraduated 1979
Enumeration DateJanuary 19, 2007
Last NPPES UpdateMay 26, 2021
NPPES CertifiedMay 26, 2021
✔ NPI 1366595738 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in GA · 038327
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.
6401 SHALLOWFORD RD, Chattanooga, TN 37421
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Other Identifiers 1

Medicaid00606834BGA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter Health and more.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

Dr. Pankaj Bhikhalal Kalaria 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 ID5991785669
PECOS Enrollment IDI20240409000258
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 Pankaj Kalaria reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Chattanooga Hamilton County Hospital Authority
4.9 mi
Federally Qualified Health Center (FQHC)
1200 DODSON AVE
Chattanooga, TN 37406
  • Reassigned Medicare billing, Tennessee enrollment
  • 533 clinicians in this Medicare group
NPI 1609961549 (423) 778-4780
Erlanger Health
6.5 mi
Internal Medicine
979 E 3RD ST STE A440
Chattanooga, TN 37403
  • Reassigned Medicare billing, Tennessee enrollment
  • 679 clinicians in this Medicare group
NPI 1477256303 (423) 778-2867

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 2

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.

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.
20 services20 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
19 services19 patients

Hospital Affiliations CMS Care Compare

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

Erlanger Medical Center

Acute Care Hospitals · Chattanooga, TN
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number440104
Location975 E 3rd StChattanooga, TN 37403 · Hamilton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37421 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
$121.80 typical visit price
range $52.64 – $160.89
Typical copayment $30.45 (range $13.16 – $40.22)
Most-billed visit code 99204
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
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.

MILLIE MITCHELL LICSW
Social Worker (Clinical)
6401 SHALLOWFORD RD
CHATTANOOGA, TN 37421
Hamilton County (423) 893-6500
SCOTT EUGENE HOLMES DMD
Dentist (General Practice)
6401 SHALLOWFORD RD
CHATTANOOGA, TN 37421
Hamilton County (423) 893-6500
MRS. NIKKI MCPHERSON LCSW
Social Worker (Clinical)
6401 SHALLOWFORD RD
CHATTANOOGA, TN 37421
Hamilton County (615) 961-2578
DR. MONA YEARY N.P.
Nurse Practitioner (Psychiatric/Mental Health)
6401 SHALLOWFORD RD
CHATTANOOGA, TN 37421
Hamilton County (423) 893-6500
VIDA JEAN GALLAHER RDN
Dietitian, Registered
6401 SHALLOWFORD RD
CHATTANOOGA, TN 37421
Hamilton County (423) 893-6500
MRS. COURTNEY RENEE HARRIS FNP
Nurse Practitioner (Primary Care)
6401 SHALLOWFORD RD
CHATTANOOGA, TN 37421
Hamilton County (423) 339-9581
NASHVILLE VAMC
Department of Veterans Affairs (VA) Pharmacy
6401 SHALLOWFORD RD
CHATTANOOGA, TN 37421
Hamilton County (615) 873-7675
DR. CHRISTINA DENINE SPARKS PHD
Psychologist (Clinical)
6401 SHALLOWFORD RD
CHATTANOOGA, TN 37421
Hamilton County (423) 893-6500

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 Pankaj Kalaria's NPI number?

The NPI number for Pankaj Kalaria is 1366595738. It was assigned to this individual provider in the NPPES registry on January 19, 2007.

Where is Pankaj Kalaria located?

Pankaj Kalaria practices at 6401 Shallowford Rd, Chattanooga, TN 37421. The listed phone number is (423) 893-6500.

What is Pankaj Kalaria's specialty?

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

Is Pankaj Kalaria enrolled in Medicare?

Yes. Pankaj Kalaria 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 Pankaj Kalaria's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Pankaj Kalaria reassigns Medicare benefits to 2 organizations: Chattanooga Hamilton County Hospital Authority (Chattanooga, TN) and Erlanger Health (Chattanooga, TN). 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 Pankaj Kalaria's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Pankaj Kalaria accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 2 other insurers list Pankaj Kalaria 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 Pankaj Kalaria affiliated with any hospitals?

According to CMS data, Pankaj Kalaria is affiliated with Erlanger Medical Center.

When was this NPI record last updated?

The NPPES record for Pankaj Kalaria was last updated on May 26, 2021. 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.