KALATHIL K SURESHKUMAR MD
NPI 1487656310
Internal Medicine - Nephrology in Pittsburgh, PA

Q: What is Kalathil Sureshkumar's NPI number?

The NPI number for Kalathil Sureshkumar is 1487656310. It was assigned to this individual provider in the NPPES registry on August 11, 2005.

Q: What is Kalathil Sureshkumar's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Active since August 11, 2005PECOS EnrolledAccepts Medicare Assignment

93.78/100

CMS Quality Rating

320 E NORTH AVE FL 4, PITTSBURGH, PA 15212(412) 359-3319(412) 359-4136 Get Directions Write a Review

NPPES record last updated: October 9, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 9, 2020, Apr 26, 2017, Jan 16, 2017 and 1 more (4 updates tracked since 2016).

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About Kalathil K Sureshkumar Md NPPES

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

KALATHIL K SURESHKUMAR MD (NPI 1487656310) is an individual nephrology provider in Pittsburgh, Pennsylvania, licensed in Pennsylvania (MD060636L) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS, is affiliated with Allegheny Valley Hospital, and is a graduate of Other (1988).

NPPES Registry Identity

NPI1487656310

Entity TypeIndividualMale

Primary Taxonomy207RN0300X

Provider Legal NameKALATHIL K SURESHKUMARCredential: MD

Location Address320 E NORTH AVE FL 4Pittsburgh, PA 15212-4756

Mailing Address320 E North Ave Fl 4Pittsburgh, PA 15212-4756 · (412) 359-3319 · Fax (412) 359-4136

Phone(412) 359-3319

Fax(412) 359-4136

Sole ProprietorNo

Medical School CMSOtherGraduated 1988

Enumeration DateAugust 11, 2005

Last NPPES UpdateOctober 9, 20204 updates tracked since enumeration

NPPES CertifiedOctober 9, 2020

✔ NPI 1487656310 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians

Taxonomy Code207RN0300X

License✔ Licensed in PA · MD060636L

Definition

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

320 E NORTH AVE FL 4, Pittsburgh, PA 15212

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Other Identifiers 1

Medicaid001797880PA

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

Kalathil K Sureshkumar 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 ID2163558289

PECOS Enrollment IDI20100329000449

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 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.

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.

116 services72 patients

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.

108 services45 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.

105 services39 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.

42 services36 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.

13 services12 patients

Hospital Affiliations CMS Care Compare 5

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

Allegheny Valley Hospital

Acute Care Hospitals · Natrona, PA

3/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number390032

Location1301 Carlisle StNatrona, PA 15065 · Allegheny County

Emergency services

Allegheny General Hospital

Acute Care Hospitals · Pittsburgh, PA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390050

Location320 East North AvenuePittsburgh, PA 15212 · Allegheny County

Emergency services

West Penn Hospital

Acute Care Hospitals · Pittsburgh, PA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390090

Location4800 Friendship AvenuePittsburgh, PA 15224 · Allegheny County

Emergency services Birthing friendly

Jefferson Hospital

Acute Care Hospitals · Jefferson Hills, PA

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390265

Location565 Coal Valley RoadJefferson Hills, PA 15025 · Allegheny County

Emergency services Birthing friendly

Forbes Hospital

Acute Care Hospitals · Monroeville, PA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390267

Location2570 Haymaker RoadMonroeville, PA 15146 · Allegheny County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15212 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

$126.34 typical visit price

range $54.64 – $166.87

Typical copayment $31.58 (range $13.66 – $41.71)

Most-billed visit code 99204

Established Patient

$96.82 typical visit price

range $17.33 – $135.84

Typical copayment $24.20 (range $4.33 – $33.96)

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.

93.78/100

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

Scored through an Alternative Payment Model

Quality

85.07

Promoting Interoperability

100

Improvement Activities

Referred Medical Equipment & Supplies CMS DME claims 8

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tacrolimus, extended release, (envarsus xr), oral, 0.25 mg J7503

Treatment-Chemotherapy · category RH002N

4 suppliers34 claims17,670 services$1.05 avg. paid by Medicare

Tacrolimus, immediate release, oral, 1 mg J7507

Treatment-Treatment - Miscellaneous · category RX029N

26 suppliers409 claims39,540 services$0.29 avg. paid by Medicare

Prednisone, immediate release or delayed release, oral, 1 mg J7512

Treatment-Treatment - Miscellaneous · category RX029N

3 suppliers22 claims2,775 services$0.01 avg. paid by Medicare

Cyclosporine, oral, 25 mg J7515

Treatment-Treatment - Miscellaneous · category RX029N

2 suppliers11 claims1,710 services$0.59 avg. paid by Medicare

Mycophenolate mofetil, oral, 250 mg J7517

Treatment-Treatment - Miscellaneous · category RX029N

23 suppliers273 claims37,108 services$0.18 avg. paid by Medicare

Mycophenolic acid, oral, 180 mg J7518

Treatment-Treatment - Miscellaneous · category RX029N

5 suppliers54 claims8,880 services$0.88 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 12

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

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