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NAMDEO KALE MD
NPI 1558435628
Internal Medicine in Pontiac, MI

Active since November 20, 2006PECOS EnrolledAccepts Medicare AssignmentCLIA 23D0666816 · Waiver
35 S JOHNSON ST, STE 2 D, PONTIAC, MI 48341(248) 338-0860(248) 338-6013 Get Directions Write a Review

NPPES record last updated: November 28, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Namdeo Kale Md NPPES

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

NAMDEO KALE MD (NPI 1558435628) is an individual internal medicine provider in Pontiac, Michigan, licensed in Michigan (5315021400) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS, holds a CLIA Waiver certificate valid through August 31, 2026, and is affiliated with Trinity Health Oakland Hospital.

NPPES Registry Identity

NPI1558435628
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameNAMDEO KALECredential: MD
Location Address35 S JOHNSON ST, STE 2 DPontiac, MI 48341-1658
Mailing AddressPo Box 7104Sterling Heights, MI 48311-7104 · (248) 338-0860 · Fax (248) 338-6013
Phone(248) 338-0860
Fax(248) 338-6013
Sole ProprietorNo
Medical School CMSOtherGraduated 1992
Enumeration DateNovember 20, 2006
Last NPPES UpdateNovember 28, 2013
✔ NPI 1558435628 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in MI · 5315021400
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
35 S JOHNSON ST, Pontiac, MI 48341
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Other Identifiers 1

Medicare UPINI47892

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include McLaren Health Plan Community, Priority Health, UnitedHealthcare.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

Namdeo Kale 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 ID4284657826
PECOS Enrollment IDI20060111000126
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.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 23D0666816

Namdeo Kale MD PC · Bloomfield Hills, MI
Active · expires Aug 31, 2026
CLIA Number23D0666816
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorNamdeo J. Kale
Laboratory Phone(248) 338-0860
Laboratory LocationNamdeo Kale MD PC43700 Woodward Avenue Suite 201, Bloomfield Hills, MI 48302
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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.

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.
264 services66 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.
106 services36 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.
34 services34 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.
24 services24 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
23 services18 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.
20 services14 patients

Hospital Affiliations CMS Care Compare 3

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

Trinity Health Oakland Hospital

Acute Care Hospitals · Pontiac, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230029
Location44405 Woodward AvePontiac, MI 48341 · Oakland County
Emergency services Birthing friendly

Beaumont Hospital Royal Oak

Acute Care Hospitals · Royal Oak, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230130
Location3601 W Thirteen Mile RdRoyal Oak, MI 48073 · Oakland County
Emergency services Birthing friendly

Trinity Health Ann Arbor Hospital

Acute Care Hospitals · Ann Arbor, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number230156
Location5301 E Huron River DrAnn Arbor, MI 48106 · Washtenaw County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48341 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
$134.28 typical visit price
range $58.04 – $177.36
Typical copayment $33.57 (range $14.51 – $44.34)
Most-billed visit code 99204
Established Patient
$102.35 typical visit price
range $18.32 – $143.49
Typical copayment $25.58 (range $4.58 – $35.87)
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.

Reported Quality Measures

Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
90%116 patients4/55-star benchmark: 96%
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
85%217 patients4/55-star benchmark: 99%
Diabetes Mellitus: Diabetic Foot and Ankle Care, Peripheral Neuropathy - Neurological Evaluation
Percentage of patients aged 18 years and older with a diagnosis of diabetes mellitus who had a neurological examination of their lower extremities within 12 months
91%75 patients4/55-star benchmark: 100%
Diabetes: Medical Attention for Nephropathy
The percentage of patients 18-75 years of age with diabetes who had a nephropathy screening test or evidence of nephropathy during the measurement period
80%76 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 3

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
11 suppliers38 claims89 services$5.64 avg. paid by Medicare
Normal, low and high calibrator solution / chips A4256
DME-Other DME · category DE000N
1 supplier11 claims11 services$2.41 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
10 suppliers29 claims32 services$1.08 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 19

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

GENEMED INCORPORATED
Clinic/Center (Medical Specialty)
35 S JOHNSON ST, STE 1A
PONTIAC, MI 48341
Oakland County (248) 334-4721
BOYSVILLE OF MICHIGAN, INC.
Counselor (Addiction (Substance Use Disorder))
35 S JOHNSON ST, SUITE 3C
PONTIAC, MI 48341
Oakland County (248) 333-7222
SCHRAMM PROFESSIONAL PHARMACY, INC
Pharmacist
35 S JOHNSON ST, SUITE 1E
PONTIAC, MI 48341
Oakland County (248) 334-9582
MUZAFAR HUSSAIN PT
Physical Therapist
35 S JOHNSON ST, 2G
PONTIAC, MI 48341
Oakland County (248) 890-6058
NORTH OAKLAND DENTAL CENTER
Dentist (General Practice)
35 S JOHNSON ST, SUITE 2A
PONTIAC, MI 48341
Oakland County (248) 333-2424
LONIE GRAY CAC
Counselor (Addiction (Substance Use Disorder))
35 S JOHNSON ST, SUITE 0-C
PONTIAC, MI 48341
Oakland County (248) 333-7222
MR. WARREN RAUSS PRATT RPH
Pharmacist
35 S JOHNSON ST, SUITE 1E
PONTIAC, MI 48341
Oakland County (248) 334-9582
WILLIAM E HILL MD PC
Obstetrics & Gynecology
35 S JOHNSON ST, SUITE 2E
PONTIAC, MI 48341
Oakland County (248) 338-0314

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 Namdeo Kale's NPI number?

The NPI number for Namdeo Kale is 1558435628. It was assigned to this individual provider in the NPPES registry on November 20, 2006.

Where is Namdeo Kale located?

Namdeo Kale practices at 35 S Johnson St Ste 2 D, Pontiac, MI 48341. The listed phone number is (248) 338-0860.

What is Namdeo Kale's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Namdeo Kale enrolled in Medicare?

Yes. Namdeo Kale 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.

Does Namdeo Kale hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 23D0666816) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Namdeo Kale accept?

Health plans from McLaren Health Plan Community, Priority Health and UnitedHealthcare list Namdeo Kale 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 Namdeo Kale affiliated with any hospitals?

According to CMS data, Namdeo Kale is affiliated with Trinity Health Oakland Hospital, Beaumont Hospital Royal Oak and Trinity Health Ann Arbor Hospital.

When was this NPI record last updated?

The NPPES record for Namdeo Kale was last updated on November 28, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.