KALYAN C MANTRIPRAGADA MD
NPI 1396911939
Internal Medicine - Hematology & Oncology in Gilbert, AZ

Active since May 04, 2008PECOS EnrolledAccepts Medicare Assignment
93.61/100
CMS Quality Rating
3686 S ROME ST, GILBERT, AZ 85297(480) 890-7705(480) 398-8095 Get Directions Write a Review

NPPES record last updated: November 18, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 18, 2022, Oct 13, 2020, Dec 3, 2018 and 3 more (6 updates tracked since 2018).

About Kalyan C Mantripragada Md NPPES

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

KALYAN C MANTRIPRAGADA MD (NPI 1396911939) is an individual hematology & oncology provider in Gilbert, Arizona, licensed in Arizona (55247) and active in the NPI registry since May 2008. He is enrolled in Medicare PECOS and is a graduate of Other (2004).

NPPES Registry Identity

NPI1396911939
Entity TypeIndividualMale
Primary Taxonomy207RH0003X
Provider Legal NameKALYAN C MANTRIPRAGADACredential: MD
Location Address3686 S ROME STGilbert, AZ 85297-4923
Mailing AddressPo Box 6423Chandler, AZ 85246-6423 · Fax (480) 398-8080
Fax(480) 398-8095
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateMay 4, 2008
Last NPPES UpdateNovember 18, 20226 updates tracked since enumeration
NPPES CertifiedNovember 18, 2022
NPI 1396911939 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
License Licensed in AZ · 55247
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
3686 S ROME ST, Gilbert, AZ 85297

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

Kalyan C Mantripragada 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 ID2466635172
PECOS Enrollment IDI20180109000641
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 38

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.

Injection, ferric carboxymaltose, 1 mg J1439
Ferric carboxymaltose is an iron supplement injection. It's given when your body needs more iron than you can consume through diet, like in anemia. The injection is administered by a healthcare professional into a vein.
82,500 services44 patients
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml Q9967
Low osmolar contrast material with 300-399 mg/ml iodine concentration is a diagnostic tool used in imaging procedures. It helps to enhance the visibility of specific areas in the body, aiding in accurate diagnosis. It's safe and generally well-tolerated by patients.
17,550 services164 patients
Injection, darbepoetin alfa, 1 microgram (non-esrd use) J0881
Darbepoetin alfa injection is a medication used to treat anemia (low red blood cell count) often caused by chronic kidney disease or chemotherapy. It works by stimulating your body to produce more red blood cells, helping to increase your energy and well-being.
8,680 services13 patients
Injection, dexamethasone sodium phosphate, 1 mg J1100
Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.
1,372 services29 patients
Injection, palonosetron hcl, 25 mcg J2469
Palonosetron HCL is an injection used to prevent nausea and vomiting caused by chemotherapy. It works by blocking a natural substance (serotonin) in the body that can cause vomiting. This helps improve your comfort during cancer treatment.
800 services25 patients
Injection, pegfilgrastim-jmdb (fulphila), biosimilar, 0.5 mg Q5108
Pegfilgrastim-jmdb (Fulphila) is a biosimilar injection used to stimulate the growth of white blood cells, helping your body fight infections. It's often given after certain cancer treatments that can lower your white blood cell count.
456 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85297 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
$168.60 typical visit price
range $55.44 – $168.60
Typical copayment $42.15 (range $13.86 – $42.15)
Most-billed visit code 99205
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.

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.

93.61/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Quality97.66
Promoting Interoperability83
Improvement Activities40

Reported Quality Measures

Advance Care Plan
100%706 patients5/55-star benchmark: 100%
Breast Cancer Screening
51%405 patients3/55-star benchmark: 93%
Closing the Referral Loop: Receipt of Specialist Report
98%120 patients5/55-star benchmark: 87%
Colorectal Cancer Screening
54%904 patients3/55-star benchmark: 88%
Documentation of Current Medications in the Medical Record
93%2,951 patients4/55-star benchmark: 100%
Oncology: Medical and Radiation - Pain Intensity Quantified
98%246 patients4/55-star benchmark: 100%
Oncology: Medical and Radiation - Plan of Care for Pain
86%42 patients4/55-star benchmark: 100%
Percentage of Patients Who Died from Cancer Receiving Systemic Cancer-Directed Therapy in the Last 14 Days of Life (lower score better)
Lower rates are better for this measure.
25%28 patients
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
56%1,675 patients3/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 99% · 749 patients
Patients screened: 100% · 749 patients
84%50 patients4/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
98%1,703 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Acute Care)
3686 S ROME ST
GILBERT, AZ 85297
Nurse Practitioner (Family)
3686 S ROME ST
GILBERT, AZ 85297
Plastic Surgery
3686 S ROME ST
GILBERT, AZ 85297
Non-Pharmacy Dispensing Site
3686 S ROME ST
GILBERT, AZ 85297
Nurse Practitioner (Family)
3686 S ROME ST
GILBERT, AZ 85297
Internal Medicine (Medical Oncology)
3686 S ROME ST
GILBERT, AZ 85297
Internal Medicine (Hematology & Oncology)
3686 S ROME ST
GILBERT, AZ 85297
Surgery
3686 S ROME ST
GILBERT, AZ 85297

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 Kalyan Mantripragada's NPI number?

The NPI number for Kalyan Mantripragada is 1396911939. It was assigned to this individual provider in the NPPES registry on May 4, 2008.

Where is Kalyan Mantripragada located?

Kalyan Mantripragada practices at 3686 S Rome St, Gilbert, AZ 85297. The listed phone number is (480) 890-7705.

What is Kalyan Mantripragada's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Kalyan Mantripragada enrolled in Medicare?

Yes. Kalyan Mantripragada 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 Kalyan Mantripragada accept?

Health plans from Blue Cross Blue Shield of Arizona, Imperial Insurance Companies, Inc. and UnitedHealthcare list Kalyan Mantripragada 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 Kalyan Mantripragada was last updated on November 18, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.