ANISHA PRATAP KAMATH M.B.B.S.
NPI 1508272162
Internal Medicine - Pulmonary Disease in Erie, PA

Q: What is Anisha Kamath's NPI number?

The NPI number for Anisha Kamath is 1508272162. It was assigned to this individual provider in the NPPES registry on July 3, 2014.

Q: What is Anisha Kamath's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Q: When was this NPI record last updated?

The NPPES record for Anisha Kamath was last updated on October 2, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 03, 2014PECOS EnrolledAccepts Medicare Assignment

93.78/100

CMS Quality Rating

204 W 26TH ST, ERIE, PA 16508(814) 864-4755(814) 864-5430 Get Directions Write a Review

NPPES record last updated: October 2, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 2, 2020, Aug 11, 2020, Jun 14, 2019 (3 updates tracked since 2019).

On this page

About Anisha Pratap Kamath M.b.b.s. NPPES

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

ANISHA PRATAP KAMATH M.B.B.S. (NPI 1508272162) is an individual pulmonary disease provider in Erie, Pennsylvania, licensed in Pennsylvania (MD462843) and active in the NPI registry since July 2014. She is enrolled in Medicare PECOS, is affiliated with Methodist Hospital, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1508272162

Entity TypeIndividualFemale

Primary Taxonomy207RP1001X

Provider Legal NameANISHA PRATAP KAMATHCredential: M.B.B.S.

Location Address204 W 26TH STErie, PA 16508-1806

Mailing Address204 W 26th StErie, PA 16508-1806 · (814) 864-4755 · Fax (814) 864-5430

Phone(814) 864-4755

Fax(814) 864-5430

Sole ProprietorNo

Medical School CMSOtherGraduated 2012

Enumeration DateJuly 3, 2014

Last NPPES UpdateOctober 2, 20203 updates tracked since enumeration

NPPES CertifiedOctober 2, 2020

✔ NPI 1508272162 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RP1001X

License✔ Licensed in PA · MD462843

Definition

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

204 W 26TH ST, Erie, PA 16508

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.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

Anisha Pratap Kamath M.b.b.s. 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 ID547686842

PECOS Enrollment IDI20230329001067

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 12

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 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.

532 services272 patients

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

505 services276 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.

70 services48 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.

68 services61 patients

Critical care, each additional 30 minutes 99292

Critical care refers to special attention given to patients facing life-threatening conditions. Each additional 30 minutes indicates the extension of this specialized care. This might include close monitoring, medication adjustments, and immediate interventions as needed.

61 services34 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.

58 services58 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.

55 services55 patients

Test to examine how well the lungs exchange gases 94729

This is a test called a pulmonary function test, which helps understand the efficiency of your lungs. It measures how much air your lungs can hold, how quickly you can move air in and out of your lungs, and how well your lungs put oxygen into and remove carbon dioxide from your blood.

25 services25 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.

20 services19 patients

Test to measure expiratory airflow and volume changes before and after medication administration 94060

This procedure measures how air flows in and out of your lungs. It's done before and after medication to see if the treatment improves your breathing. It's a simple, non-invasive test that involves breathing into a device called a spirometer.

19 services19 patients

Test to determine lung volumes using sensors 94726

This test, called spirometry, measures lung capacity using sensors. You breathe into a mouthpiece attached to a device that records the amount and rate of air you inhale and exhale. It helps diagnose and monitor lung conditions.

18 services18 patients

Test to measure expiratory airflow and volume 94010

This test, known as spirometry, assesses how well your lungs work. It measures how much air you can inhale, how much you can exhale and how quickly you can exhale. It's non-invasive and helps diagnose conditions like asthma or COPD.

13 services13 patients

Hospital Affiliations CMS Care Compare 2

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

Methodist Hospital

Acute Care Hospitals · San Antonio, TX

4/5 CMS rating

OwnershipProprietary

CMS Certification Number450388

Location7700 Floyd Curl DrSan Antonio, TX 78229 · Bexar County

Emergency services Birthing friendly

Methodist Hospital Stone Oak

Acute Care Hospitals · San Antonio, TX

4/5 CMS rating

OwnershipProprietary

CMS Certification Number670055

Location1139 E Sonterra Blvd,San Antonio, TX 78258 · Bexar County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 16508 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 6

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

2 suppliers15 claims16 services$17.66 avg. paid by Medicare

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

4 suppliers58 claims58 services$6.24 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

2 suppliers29 claims29 services$92.57 avg. paid by Medicare

Portable oxygen concentrator, rental E1392

DME-Oxygen and Supplies · category DC002N

1 supplier21 claims21 services$33.25 avg. paid by Medicare

Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613

DME-Drugs Administered Through DME · category DG006N

5 suppliers18 claims3,042 services$0.03 avg. paid by Medicare

Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513

DME-Other DME · category DE000N

8 suppliers23 claims23 services$24.81 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.

MR. THOMAS M JOHNSON PA-C

Physician Assistant

204 W 26TH ST
ERIE, PA 16508

Erie County (814) 864-4755

DR. AMANDA MARIE LINDO MD

Internal Medicine (Pulmonary Disease)

204 W 26TH ST
ERIE, PA 16508

Erie County (814) 864-4755

SEAN DENT

Nurse Practitioner (Acute Care)

204 W 26TH ST
ERIE, PA 16508

Erie County (814) 864-4755

MELISSA ANN DOUGHTY AGACNP

Nurse Practitioner

204 W 26TH ST
ERIE, PA 16508

Erie County (814) 864-4755

MR. HRIDYESH SIKRI M.D.

Internal Medicine (Critical Care Medicine)

204 W 26TH ST
ERIE, PA 16508

Erie County (814) 864-4755

ST VINCENT MEDICAL EDUCATION AND RESEARCH INSTITUTE INC.

Orthopaedic Surgery

204 W 26TH ST
ERIE, PA 16508

Erie County (814) 454-2401

JOHN KARSTENS

Internal Medicine (Sleep Medicine)

204 W 26TH ST
ERIE, PA 16508

Erie County (814) 868-7581

DR. ANIMESH CHIDANANDRAO GOUR MD

Internal Medicine (Pulmonary Disease)

204 W 26TH ST
ERIE, PA 16508

Erie County (347) 981-5667

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 Anisha Kamath's NPI number?

The NPI number for Anisha Kamath is 1508272162. It was assigned to this individual provider in the NPPES registry on July 3, 2014.

Where is Anisha Kamath located?

Anisha Kamath practices at 204 W 26th St, Erie, PA 16508. The listed phone number is (814) 864-4755.

What is Anisha Kamath's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Anisha Kamath enrolled in Medicare?

Yes. Anisha Kamath 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 Anisha Kamath accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 6 other insurers list Anisha Kamath 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 Anisha Kamath affiliated with any hospitals?

According to CMS data, Anisha Kamath is affiliated with Methodist Hospital and Methodist Hospital Stone Oak.

When was this NPI record last updated?

The NPPES record for Anisha Kamath was last updated on October 2, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.