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DR. HOLUPATHIRAGE KALHARA CALDERA MBBS
NPI 1467915082
Family Medicine - Sports Medicine in Fresno, CA

Active since April 10, 2019PECOS EnrolledAccepts Medicare Assignment
72.73/100
CMS Quality Rating
1105 E SPRUCE AVE STE 201, FRESNO, CA 93720(559) 450-2630(559) 450-0351 Get Directions Write a Review

NPPES record last updated: June 2, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 2, 2025, Dec 26, 2024, Jun 28, 2024 and 2 more (5 updates tracked since 2019).

About Dr. Holupathirage Kalhara Caldera Mbbs NPPES

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

DR. HOLUPATHIRAGE KALHARA CALDERA MBBS (NPI 1467915082) is an individual sports medicine provider in Fresno, California, licensed in California (A179254) and active in the NPI registry since April 2019. He is enrolled in Medicare PECOS, maintains a secondary practice location in Fresno, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1467915082
Entity TypeIndividualMale
Primary Taxonomy207QS0010X
Provider Legal NameDR. HOLUPATHIRAGE KALHARA CALDERACredential: MBBS
Location Address1105 E SPRUCE AVE STE 201Fresno, CA 93720-3313
Mailing Address1111 E Spruce Ave Ste 431Fresno, CA 93720-3330 · (559) 450-7449 · Fax (559) 450-7470
Phone(559) 450-2630
Fax(559) 450-0351
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateApril 10, 2019
Last NPPES UpdateJune 2, 20255 updates tracked since enumeration
NPPES CertifiedJune 2, 2025
✔ NPI 1467915082 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily Medicine · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QS0010X
License✔ Licensed in CA · A179254
Definition
A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.
Also ListedFamily MedicineTaxonomy 207Q00000X · License A179254 (CA)
1105 E SPRUCE AVE STE 201, Fresno, CA 93720
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Secondary Practice Location 1

Location 11510 E Herndon Ave Ste 230Fresno, CA 93720-3392 · Phone (559) 450-2663

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. Holupathirage Kalhara Caldera Mbbs 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 ID3274917869
PECOS Enrollment IDI20220831001067
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 8

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.
230 services23 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.
127 services95 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.
54 services54 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.
42 services40 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.
32 services25 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
21 services21 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93720 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
$90.32 typical visit price
range $58.87 – $176.60
Typical copayment $22.58 (range $14.71 – $44.15)
Most-billed visit code 99203
Established Patient
$103.36 typical visit price
range $19.28 – $144.60
Typical copayment $25.84 (range $4.82 – $36.15)
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.

72.73/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality64.14
Improvement Activities40

Other Providers at the Same Location NPPES 3

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

SWETHA BALLI
Family Medicine
1105 E SPRUCE AVE STE 201
FRESNO, CA 93720
Fresno County (559) 450-2630
CHRISTINE BENNETT FNP-C
Nurse Practitioner (Family)
1105 E SPRUCE AVE STE 201
FRESNO, CA 93720
Fresno County (559) 450-7217
KURENE MEI-HO FONG PA-C
Physician Assistant
1105 E SPRUCE AVE STE 201
FRESNO, CA 93720
Fresno County (559) 450-2630

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 Holupathirage Caldera's NPI number?

The NPI number for Holupathirage Caldera is 1467915082. It was assigned to this individual provider in the NPPES registry on April 10, 2019.

Where is Holupathirage Caldera located?

Holupathirage Caldera practices at 1105 E Spruce Ave Ste 201, Fresno, CA 93720. The listed phone number is (559) 450-2630.

What is Holupathirage Caldera's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

Is Holupathirage Caldera enrolled in Medicare?

Yes. Holupathirage Caldera 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.

When was this NPI record last updated?

The NPPES record for Holupathirage Caldera was last updated on June 2, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.