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PALITHA VISHWAJITH KALPAGE M.D.
NPI 1386931483
Family Medicine in Tucson, AZ

Active since July 09, 2011PECOS EnrolledAccepts Medicare Assignment
839 W CONGRESS STREES, TUCSON, AZ 85745(520) 670-3909(520) 309-2560 Get Directions Write a Review

NPPES record last updated: March 25, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 25, 2025, Feb 4, 2025, Apr 15, 2024 (3 updates tracked since 2024).

About Palitha Vishwajith Kalpage M.d. NPPES

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

PALITHA VISHWAJITH KALPAGE M.D. (NPI 1386931483) is an individual family medicine provider in Tucson, Arizona, licensed in Arizona (R72791) and active in the NPI registry since July 2011. He is enrolled in Medicare PECOS, maintains a secondary practice location in Tucson, and is a graduate of Other (1996).

NPPES Registry Identity

NPI1386931483
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NamePALITHA VISHWAJITH KALPAGECredential: M.D.
Location Address839 W CONGRESS STREESTucson, AZ 85745-6204
Mailing Address3189 W Tumamoc DrTucson, AZ 85745-5266 · (520) 235-0597
Phone(520) 670-3909
Fax(520) 309-2560
Sole ProprietorYes
Medical School CMSOtherGraduated 1996
Enumeration DateJuly 9, 2011
Last NPPES UpdateMarch 25, 20253 updates tracked since enumeration
NPPES CertifiedMarch 25, 2025
✔ NPI 1386931483 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in AZ · R72791✔ Licensed in AZ · 4887
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
839 W CONGRESS STREES, Tucson, AZ 85745
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Secondary Practice Location 1

Location 11601 W Saint Marys RdTucson, AZ 85745-2623 · Phone (520) 622-5833

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Antidote Health Plan of Arizona, Inc., Blue Cross Blue Shield of Arizona 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

Palitha Vishwajith Kalpage 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 ID9133347271
PECOS Enrollment IDI20140902001556
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

3

Medicare enrollment records show Palitha Kalpage reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

El Rio Santa Cruz Neighborhood Health Center, Inc
Same address
Federally Qualified Health Center (FQHC)
839 W CONGRESS ST
Tucson, AZ 85745
  • Reassigned Medicare billing, Arizona enrollment
  • 464 clinicians in this Medicare group
NPI 1487602736 (520) 670-3909
Tucson Physician Group Holdings, LLC
0.9 mi
Interventional Cardiology
395 N SILVERBELL RD STE 355
Tucson, AZ 85745
  • Reassigned Medicare billing, Arizona enrollment
  • 293 clinicians in this Medicare group
NPI 1356726939 (520) 622-5912
Cogent Healthcare Of Arizona PC
64 mi
Internal Medicine
5700 E HIGHWAY 90
Sierra Vista, AZ 85635
  • Reassigned Medicare billing, Arizona enrollment
  • 372 clinicians in this Medicare group
NPI 1568758266 (520) 417-4594

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.

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.
179 services170 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
48 services33 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
37 services37 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
26 services17 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
25 services24 patients
Blood test, lipids (cholesterol and triglycerides) 80061
A lipid panel is a blood test that measures fats and fatty substances, such as cholesterol and triglycerides. These substances are used by your body as a source of energy. High levels can lead to health issues, including heart disease.
19 services19 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85745 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
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.

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 Palitha Kalpage's NPI number?

The NPI number for Palitha Kalpage is 1386931483. It was assigned to this individual provider in the NPPES registry on July 9, 2011.

Where is Palitha Kalpage located?

Palitha Kalpage practices at 839 W Congress Strees, Tucson, AZ 85745. The listed phone number is (520) 670-3909.

What is Palitha Kalpage's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Palitha Kalpage enrolled in Medicare?

Yes. Palitha Kalpage 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 Palitha Kalpage's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Palitha Kalpage reassigns Medicare benefits to 3 organizations: El Rio Santa Cruz Neighborhood Health Center, Inc (Tucson, AZ), Tucson Physician Group Holdings, LLC (Tucson, AZ) and Cogent Healthcare Of Arizona PC (Sierra Vista, AZ). 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 Palitha Kalpage's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Palitha Kalpage accept?

Health plans from Ambetter from Arizona Complete Health, Antidote Health Plan of Arizona, Inc., Blue Cross Blue Shield of Arizona, Cigna HealthCare of Arizona, Inc and Imperial Insurance Companies, Inc. and 3 other insurers list Palitha Kalpage 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.

When was this NPI record last updated?

The NPPES record for Palitha Kalpage was last updated on March 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.