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DR. KAYLESH K. PANDYA D.O.
NPI 1477998599
Family Medicine in Shelton, WA

Active since May 02, 2013PECOS EnrolledAccepts Medicare Assignment
625 W RAILROAD AVE # 234, SHELTON, WA 98584(360) 529-1234(360) 284-2535 Get Directions Write a Review

NPPES record last updated: May 16, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 16, 2025, Apr 29, 2024, Oct 19, 2022 and 1 more (4 updates tracked since 2020).

About Dr. Kaylesh K. Pandya D.o. NPPES

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

DR. KAYLESH K. PANDYA D.O. (NPI 1477998599) is an individual family medicine provider in Shelton, Washington, licensed in Washington (OP61475133) and active in the NPI registry since May 2013. He is enrolled in Medicare PECOS, is affiliated with Mason General Hospital & Family Of Clinics, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1477998599
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. KAYLESH K. PANDYACredential: D.O.
Location Address625 W RAILROAD AVE # 234Shelton, WA 98584-3522
Mailing Address625 W Railroad Ave # 234Shelton, WA 98584-3522 · (360) 529-1234 · Fax (360) 284-2535
Phone(360) 529-1234
Fax(360) 284-2535
Sole ProprietorYes
Medical School CMSOtherGraduated 2012
Enumeration DateMay 2, 2013
Last NPPES UpdateMay 16, 20254 updates tracked since enumeration
NPPES CertifiedApril 28, 2025
✔ NPI 1477998599 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in WA · OP61475133✔ Licensed in FL · OS14868
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.
Also ListedNeuromusculoskeletal Medicine & OMMTaxonomy 204D00000X · License OS14868 (FL)
625 W RAILROAD AVE # 234, Shelton, WA 98584
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Secondary Practice Locations 2

Location 1153 Johns CtShelton, WA 98584-8225 · Phone (360) 427-2575 · Fax (360) 427-2563
Location 22430 N 13th StShelton, WA 98584-1213 · Phone (360) 426-1651 · Fax (360) 358-8752

Other Identifiers 1

OtherOP61475133WA · Washington Osteopathic Physician License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.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. Kaylesh K. Pandya D.o. 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 ID941545057
PECOS Enrollment IDI20231111000393
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 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.

Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310
A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
124 services91 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
80 services64 patients
Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306
An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.
64 services61 patients
Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305
An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.
24 services24 patients
Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310
A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
17 services15 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
16 services16 patients

Hospital Affiliations CMS Care Compare

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

Mason General Hospital & Family Of Clinics

Critical Access Hospitals · Shelton, WA
1/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number501336
Location901 Mt View DriveShelton, WA 98584 · Mason County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98584 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
$88.29 typical visit price
range $57.27 – $172.80
Typical copayment $22.07 (range $14.31 – $43.20)
Most-billed visit code 99203
Established Patient
$100.78 typical visit price
range $18.56 – $141.11
Typical copayment $25.19 (range $4.64 – $35.27)
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 Kaylesh Pandya's NPI number?

The NPI number for Kaylesh Pandya is 1477998599. It was assigned to this individual provider in the NPPES registry on May 2, 2013.

Where is Kaylesh Pandya located?

Kaylesh Pandya practices at 625 W Railroad Ave # 234, Shelton, WA 98584. The listed phone number is (360) 529-1234.

What is Kaylesh Pandya's specialty?

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

Is Kaylesh Pandya enrolled in Medicare?

Yes. Kaylesh Pandya 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 Kaylesh Pandya accept?

Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Kaylesh Pandya 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 Kaylesh Pandya affiliated with any hospitals?

According to CMS data, Kaylesh Pandya is affiliated with Mason General Hospital & Family Of Clinics.

When was this NPI record last updated?

The NPPES record for Kaylesh Pandya was last updated on May 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.