ANNA GONZAGA KALEMA M.D.
NPI 1366763146
Internal Medicine - Critical Care Medicine in Lexington, KY

Active since June 16, 2010PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
740 S LIMESTONE ST, L543 KENTUCKY CLINIC, LEXINGTON, KY 40536(859) 323-5921 Get Directions Write a Review

NPPES record last updated: June 8, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Anna Gonzaga Kalema M.d. NPPES

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

ANNA GONZAGA KALEMA M.D. (NPI 1366763146) is an individual critical care medicine provider in Lexington, Kentucky, licensed in Kentucky (47941) and active in the NPI registry since June 2010. She is enrolled in Medicare PECOS, is affiliated with Saint Joseph London, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1366763146
Entity TypeIndividualFemale
Primary Taxonomy207RC0200X
Provider Legal NameANNA GONZAGA KALEMACredential: M.D.
Location Address740 S LIMESTONE ST, L543 KENTUCKY CLINICLexington, KY 40536-0284
Mailing Address740 S Limestone St, L543 Kentucky ClinicLexington, KY 40536-0284 · (859) 323-5921
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateJune 16, 2010
Last NPPES UpdateJune 8, 2015
NPI 1366763146 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RC0200X
License Licensed in KY · 47941
Definition

An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.

Also ListedInternal MedicineTaxonomy 207R00000X · License 32859 (SC)
740 S LIMESTONE ST, Lexington, KY 40536

Accepted 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

Anna Gonzaga Kalema 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 ID3274798756
PECOS Enrollment IDI20170712001462
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 3

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.

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.
57 services32 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.
28 services16 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.
12 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Saint Joseph London

Acute Care Hospitals · London, KY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180011
Location1001 Saint Joseph LaneLondon, KY 40741 · Laurel County
Emergency services Birthing friendly

University Of Kentucky Hospital

Acute Care Hospitals · Lexington, KY
3/5 CMS rating
OwnershipGovernment - State
CMS Certification Number180067
Location800 Rose StreetLexington, KY 40536 · Fayette County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40536 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
$122.77 typical visit price
range $52.76 – $162.27
Typical copayment $30.69 (range $13.19 – $40.56)
Most-billed visit code 99204
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims

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

Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466
DME-Other DME · category DE005N
2 suppliers13 claims13 services$912.96 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.

Nurse Practitioner (Family)
740 S LIMESTONE ST
LEXINGTON, KY 40536
Internal Medicine (Endocrinology, Diabetes & Metabolism)
740 S LIMESTONE ST, ENDOCRINE CLINIC, 2ND FLOOR, WING C
LEXINGTON, KY 40536
Audiologist
740 S LIMESTONE ST, SUITE B317
LEXINGTON, KY 40536
Nurse Practitioner (Acute Care)
740 S LIMESTONE ST
LEXINGTON, KY 40536
Physician Assistant (Medical)
740 S LIMESTONE ST
LEXINGTON, KY 40536
Psychiatry & Neurology (Neurology)
740 S LIMESTONE ST, J401
LEXINGTON, KY 40536
Pediatrics (Pediatric Cardiology)
740 S LIMESTONE ST
LEXINGTON, KY 40536
Nurse Practitioner (Acute Care)
740 S LIMESTONE ST
LEXINGTON, KY 40536

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 Anna Kalema's NPI number?

The NPI number for Anna Kalema is 1366763146. It was assigned to this individual provider in the NPPES registry on June 16, 2010.

Where is Anna Kalema located?

Anna Kalema practices at 740 S Limestone St L543 Kentucky Clinic, Lexington, KY 40536. The listed phone number is (859) 323-5921.

What is Anna Kalema's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Critical Care Medicine, with taxonomy code 207RC0200X.

Is Anna Kalema enrolled in Medicare?

Yes. Anna Kalema 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 Anna Kalema accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health and Ambetter of Tennessee list Anna Kalema 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 Anna Kalema affiliated with any hospitals?

According to CMS data, Anna Kalema is affiliated with Saint Joseph London and University Of Kentucky Hospital.

When was this NPI record last updated?

The NPPES record for Anna Kalema was last updated on June 8, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.