DR. JAY VINODRAI KALAWADIA M.D.
NPI 1417186156
Orthopaedic Surgery in Allentown, PA

Q: What is Jay Kalawadia's NPI number?

The NPI number for Jay Kalawadia is 1417186156. It was assigned to this individual provider in the NPPES registry on July 2, 2009.

Q: What is Jay Kalawadia's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Q: When was this NPI record last updated?

The NPPES record for Jay Kalawadia was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since July 02, 2009PECOS EnrolledAccepts Medicare Assignment

95.76/100

CMS Quality Rating

250 CETRONIA RD, ALLENTOWN, PA 18104(610) 973-6200(866) 644-0894 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 21, 2022, Mar 17, 2018, Sep 12, 2017 (3 updates tracked since 2017).

On this page

About Dr. Jay Vinodrai Kalawadia M.d. NPPES

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

DR. JAY VINODRAI KALAWADIA M.D. (NPI 1417186156) is an individual orthopaedic surgery provider in Allentown, Pennsylvania, licensed in Pennsylvania (MD461603) and active in the NPI registry since July 2009. He is enrolled in Medicare PECOS, is affiliated with St Luke's Hospital Bethlehem, and maintains a secondary practice location in Woodbury.

NPPES Registry Identity

NPI1417186156

Entity TypeIndividualMale

Primary Taxonomy207X00000X

Provider Legal NameDR. JAY VINODRAI KALAWADIACredential: M.D.

Location Address250 CETRONIA RDAllentown, PA 18104-9147

Mailing Address250 Cetronia Rd Ste 303Allentown, PA 18104-9168 · (610) 973-6200 · Fax (866) 644-0894

Phone(610) 973-6200

Fax(866) 644-0894

Sole ProprietorNo

Medical School CMSNorthwestern University Feinberg Medical SchoolGraduated 2009

Enumeration DateJuly 2, 2009

Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration

✔ NPI 1417186156 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207X00000X

Licenses✔ Licensed in PA · MD461603✔ Licensed in NJ · 25MA09735500✔ Licensed in IL · 125055915

Definition

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

250 CETRONIA RD, Allentown, PA 18104

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Secondary Practice Location 1

Location 1414 Tatum StWoodbury, NJ 08096-3499 · Phone (856) 848-3880 · Fax (856) 848-4895

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.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

Dr. Jay Vinodrai Kalawadia 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 ID9638486996

PECOS Enrollment IDI20170829001815

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 14

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, triamcinolone acetonide, not otherwise specified, 10 mg J3301

Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.

488 services72 patients

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.

130 services89 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.

128 services87 patients

Aspiration and/or injection of fluid from large joint 20610

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

121 services71 patients

X-ray of shoulder, minimum of 2 views 73030

An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.

44 services40 patients

X-ray of knee, 4 or more views 73564

An X-ray of the knee, 4 or more views, is a non-invasive imaging test. It involves capturing multiple images of your knee from different angles. This helps in diagnosing conditions such as fractures, arthritis, or infections. The procedure is quick and painless.

28 services24 patients

Aspiration and/or injection of fluid large joint using ultrasound guidance 20611

This procedure involves using ultrasound technology to accurately locate a large joint, usually the knee or shoulder. A needle is then inserted to either extract fluid (aspiration) or inject medication. The ultrasound helps ensure precision and safety.

20 services17 patients

Removal of extensive shoulder joint tissue using an endoscope 29823

This procedure, known as arthroscopic debridement, involves using a small camera (endoscope) to view your shoulder joint. Damaged or unwanted tissue is then carefully removed. This minimally invasive technique aims to reduce pain and improve joint mobility.

20 services20 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

20 services19 patients

Shaving of part of shoulder bone and repair of ligament using an endoscope 29826

This procedure involves using a tiny camera, called an endoscope, to view and repair a damaged shoulder ligament. Simultaneously, a small portion of the shoulder bone is shaved to alleviate discomfort and improve movement. It's a minimally invasive technique that aids in a quicker recovery.

19 services19 patients

X-ray of knee, 1-2 views 73560

An X-ray of the knee with 1-2 views is a quick, painless test that produces images of the knee bones. It helps identify fractures, infections, or changes in the knee joint. During the procedure, you'll be asked to stay still while the X-ray machine captures the images.

18 services18 patients

Repair of shoulder rotator cuff using an endoscope 29827

This procedure, known as arthroscopic rotator cuff repair, helps fix tears in the shoulder's rotator cuff. An endoscope, a small camera, is used to view the shoulder inside. Using small tools, the surgeon repairs the torn tissue. This minimally invasive approach often leads to a quicker recovery.

17 services17 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

17 services17 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

13 services13 patients

Hospital Affiliations CMS Care Compare 3

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

St Luke's Hospital Bethlehem

Acute Care Hospitals · Bethlehem, PA

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390049

Location801 Ostrum StreetBethlehem, PA 18015 · Northampton County

Emergency services Birthing friendly

Lehigh Valley Hospital

Acute Care Hospitals · Allentown, PA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390133

Location1200 South Cedar Crest BoulevardAllentown, PA 18103 · Lehigh County

Emergency services Birthing friendly

St Luke's Miners Memorial Hospital

Acute Care Hospitals · Coaldale, PA

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390183

Location360 W Ruddle StreetCoaldale, PA 18218 · Schuylkill County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18104 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

$84.88 typical visit price

range $54.64 – $166.87

Typical copayment $21.22 (range $13.66 – $41.71)

Most-billed visit code 99203

Established Patient

$68.36 typical visit price

range $17.33 – $135.84

Typical copayment $17.09 (range $4.33 – $33.96)

Most-billed visit code 99213

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.

95.76/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Quality

92.3

Promoting Interoperability

100

Improvement Activities

Reported Quality Measures

Advance Care Plan

96%276 patients4/55-star benchmark: 100%

Breast Cancer Screening

79%309 patients4/55-star benchmark: 93%

Closing the Referral Loop: Receipt of Specialist Report

68%325 patients4/55-star benchmark: 87%

Controlling High Blood Pressure

83%24 patients4/55-star benchmark: 91%

Documentation of Current Medications in the Medical Record

95%2,606 patients4/55-star benchmark: 100%

e-Prescribing

99%153 patients4/55-star benchmark: 100%

Falls: Screening for Future Fall Risk

91%261 patients4/55-star benchmark: 100%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

66%1,256 patients3/55-star benchmark: 98%

Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented

15%2,513 patients2/55-star benchmark: 61%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Patients combinedPopulations: 95% · 1,027 patients

Patients screened: 97% · 1,027 patients

75%72 patients4/55-star benchmark: 100%

Provide Patients Electronic Access to Their Health Information

97%908 patients4/55-star benchmark: 100%

Statin Therapy for the Prevention and Treatment of Cardiovascular Disease

79%24 patients4/55-star benchmark: 91%

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.

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.

Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf L3670

DME-Orthotic Devices · category DF000N

2 suppliers20 claims20 services$103.41 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.

LAWRENCE E WEISS M.D.

Orthopaedic Surgery (Hand Surgery)

250 CETRONIA RD
ALLENTOWN, PA 18104

Lehigh County (610) 973-6200

AMY DEVENUTO DPT

Physical Therapist

250 CETRONIA RD, SUITE 210
ALLENTOWN, PA 18104

Lehigh County (610) 674-4911

ANGELA V. FORMAZ MS, ATC

Specialist/Technologist (Athletic Trainer)

250 CETRONIA RD
ALLENTOWN, PA 18104

Lehigh County (610) 973-6200

MADHAVI CAPOCCIA D.O.

Family Medicine

250 CETRONIA RD, SUITE 115
ALLENTOWN, PA 18104

Lehigh County (610) 395-0307

MR. ABRAHAM NATHAN GILLESPIE ATC

Specialist/Technologist (Athletic Trainer)

250 CETRONIA RD
ALLENTOWN, PA 18104

Lehigh County (610) 973-6200

JENNIFER L STRANZL RD

Dietitian, Registered

250 CETRONIA RD
ALLENTOWN, PA 18104

Lehigh County (610) 973-6200

DR. MARIE SUSAN WAGENER D.O.

Dermatology

250 CETRONIA RD, SUITE 301
ALLENTOWN, PA 18104

Lehigh County (610) 437-2378

SARA SMEY LAT, ATC

Specialist/Technologist (Athletic Trainer)

250 CETRONIA RD
ALLENTOWN, PA 18104

Lehigh County (610) 973-6200

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 Jay Kalawadia's NPI number?

The NPI number for Jay Kalawadia is 1417186156. It was assigned to this individual provider in the NPPES registry on July 2, 2009.

Where is Jay Kalawadia located?

Jay Kalawadia practices at 250 Cetronia Rd, Allentown, PA 18104. The listed phone number is (610) 973-6200.

What is Jay Kalawadia's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Jay Kalawadia enrolled in Medicare?

Yes. Jay Kalawadia 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 Jay Kalawadia accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Jay Kalawadia 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 Jay Kalawadia affiliated with any hospitals?

According to CMS data, Jay Kalawadia is affiliated with St Luke's Hospital Bethlehem, Lehigh Valley Hospital and St Luke's Miners Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Jay Kalawadia was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.