ROHIT KALIA MD
NPI 1417277112
Internal Medicine - Infectious Disease in Newport News, VA

Q: What is Rohit Kalia's NPI number?

The NPI number for Rohit Kalia is 1417277112. It was assigned to this individual provider in the NPPES registry on June 3, 2010.

Q: What is Rohit Kalia's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Q: When was this NPI record last updated?

The NPPES record for Rohit Kalia was last updated on October 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 June 03, 2010PECOS EnrolledAccepts Medicare Assignment

12420 WARWICK BLVD STE 4C, NEWPORT NEWS, VA 23606(757) 596-7115(757) 596-7127 Get Directions Write a Review

NPPES record last updated: October 3, 2024. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Oct 3, 2024, May 8, 2024, Feb 9, 2024 and 24 more (27 updates tracked since 2018).

On this page

About Rohit Kalia Md NPPES

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

ROHIT KALIA MD (NPI 1417277112) is an individual infectious disease provider in Newport News, Virginia, licensed in Virginia (0101282025) and active in the NPI registry since June 2010. He is enrolled in Medicare PECOS, is affiliated with Memorial Healthcare System, Inc, and maintains 6 additional practice locations.

NPPES Registry Identity

NPI1417277112

Entity TypeIndividualMale

Primary Taxonomy207RI0200X

Provider Legal NameROHIT KALIACredential: MD

Location Address12420 WARWICK BLVD STE 4CNewport News, VA 23606-3053

Mailing Address856 J Clyde Morris Blvd Ste ANewport News, VA 23601-1318 · (757) 316-5800

Phone(757) 596-7115

Fax(757) 596-7127

Sole ProprietorNo

Medical School CMSOtherGraduated 2008

Enumeration DateJune 3, 2010

Last NPPES UpdateOctober 3, 202427 updates tracked since enumeration

NPPES CertifiedOctober 3, 2024

✔ NPI 1417277112 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RI0200X

Licenses✔ Licensed in VA · 0101282025✔ Licensed in IN · 01073945A✔ Licensed in NC · 2018-00367

Definition

An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.

Also ListedInternal MedicineTaxonomy 207R00000X · License 51924 (SC), 2018-00367 (NC)

12420 WARWICK BLVD STE 4C, Newport News, VA 23606

Open in Google Maps ↗

Secondary Practice Locations 6

Location 110628 Park RdCharlotte, NC 28210-8407 · Phone (704) 667-7070

Location 2433 McAlister RdLincolnton, NC 28092-4147 · Phone (980) 212-6018

Location 38800 N Tryon StCharlotte, NC 28262-3300 · Phone (704) 863-6241

Location 42001 Vail AveCharlotte, NC 28207-1248 · Phone (704) 304-6070

Location 51000 Blythe Blvd, CMC Annex 1st FloorCharlotte, NC 28203-5812 · Phone (704) 355-0720

Location 64420 Lake Boone TrlRaleigh, NC 27607-7505 · Phone (919) 784-3100

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter Health, Ambetter of Alabama 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

Rohit Kalia 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 ID1850654690

PECOS Enrollment IDI20250602000579

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

Medicare enrollment records show Rohit Kalia reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Caromont Medical Group, Inc.

276 mi

Family Medicine

3605 MOUNT HOLLY HUNTERSVILLE RD, SUITE B
Charlotte, NC 28216

Reassigned Medicare billing, North Carolina enrollment
673 clinicians in this Medicare group

NPI 1053616714 (704) 971-2349

American Id Group LLC

511 mi

Infectious Disease

2339 MCCALLIE AVE STE 401
Chattanooga, TN 37404

Reassigned Medicare billing, Tennessee enrollment

NPI 1881484632 (423) 654-7000

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 5

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

96 services57 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.

65 services46 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.

46 services45 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.

27 services25 patients

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.

12 services12 patients

Hospital Affiliations CMS Care Compare 3

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

Memorial Healthcare System, Inc

Acute Care Hospitals · Chattanooga, TN

5/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number440091

Location2525 Desales AveChattanooga, TN 37404 · Hamilton County

Parkridge Medical Center

Acute Care Hospitals · Chattanooga, TN

4/5 CMS rating

OwnershipProprietary

CMS Certification Number440156

Location2333 Mccallie AveChattanooga, TN 37404 · Hamilton County

Emergency services

Tennova Health Care-Cleveland

Acute Care Hospitals · Cleveland, TN

2/5 CMS rating

OwnershipProprietary

CMS Certification Number440185

Location2305 Chambliss Ave NWCleveland, TN 37311 · Bradley County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23606 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

$129.04 typical visit price

range $56.19 – $170.30

Typical copayment $32.26 (range $14.04 – $42.57)

Most-billed visit code 99204

Established Patient

$99.13 typical visit price

range $18.07 – $138.91

Typical copayment $24.78 (range $4.51 – $34.72)

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 4

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

DR. PRAKASH MOHAN KAFLE M.D.

Internal Medicine (Infectious Disease)

12420 WARWICK BLVD STE 4C
NEWPORT NEWS, VA 23606

Newport News City (757) 596-7115

DR. ROBERT WALLACE COMER M.D.

Internal Medicine (Infectious Disease)

12420 WARWICK BLVD STE 4C
NEWPORT NEWS, VA 23606

Newport News City (757) 596-7115

ANDREA GONZALEZ M.D.

Internal Medicine (Infectious Disease)

12420 WARWICK BLVD STE 4C
NEWPORT NEWS, VA 23606

Newport News City (757) 596-7115

DR. ANNA JAYBANKS MD

Internal Medicine (Infectious Disease)

12420 WARWICK BLVD STE 4C
NEWPORT NEWS, VA 23606

Newport News City (757) 596-7115

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 Rohit Kalia's NPI number?

The NPI number for Rohit Kalia is 1417277112. It was assigned to this individual provider in the NPPES registry on June 3, 2010.

Where is Rohit Kalia located?

Rohit Kalia practices at 12420 Warwick Blvd Ste 4C, Newport News, VA 23606. The listed phone number is (757) 596-7115.

What is Rohit Kalia's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Is Rohit Kalia enrolled in Medicare?

Yes. Rohit Kalia 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 Rohit Kalia's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Rohit Kalia reassigns Medicare benefits to 2 organizations: Caromont Medical Group, Inc. (Charlotte, NC) and American Id Group LLC (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 Rohit Kalia's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Rohit Kalia accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 1 other insurer list Rohit Kalia 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 Rohit Kalia affiliated with any hospitals?

According to CMS data, Rohit Kalia is affiliated with Memorial Healthcare System, Inc, Parkridge Medical Center and Tennova Health Care-Cleveland.

When was this NPI record last updated?

The NPPES record for Rohit Kalia was last updated on October 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.