KALYAN CHAKRAVARTHY KANNEGANTI M.D
NPI 1578769303
Internal Medicine - Gastroenterology in Tacoma, WA

Active since June 27, 2007PECOS EnrolledAccepts Medicare Assignment
1112 6TH AVE STE 200, TACOMA, WA 98405(253) 272-8664(253) 874-6089 Get Directions Write a Review

NPPES record last updated: December 4, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kalyan Chakravarthy Kanneganti M.d NPPES

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

KALYAN CHAKRAVARTHY KANNEGANTI M.D (NPI 1578769303) is an individual gastroenterology provider in Tacoma, Washington, licensed in Washington (MD60783086) and active in the NPI registry since June 2007. He is enrolled in Medicare PECOS, is affiliated with Harrison Medical Center, and is a graduate of Other (2001).

NPPES Registry Identity

NPI1578769303
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameKALYAN CHAKRAVARTHY KANNEGANTICredential: M.D
Location Address1112 6TH AVE STE 200Tacoma, WA 98405-4048
Mailing Address1112 6th Ave Ste 200Tacoma, WA 98405-4048 · (253) 272-8664 · Fax (253) 874-6089
Fax(253) 874-6089
Sole ProprietorNo
Medical School CMSOtherGraduated 2001
Enumeration DateJune 27, 2007
Last NPPES UpdateDecember 4, 2020
NPPES CertifiedDecember 4, 2020
NPI 1578769303 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
Licenses Licensed in WA · MD60783086 Licensed in NY · 002851 Licensed in TX · Q0286
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
Also ListedInternal MedicineTaxonomy 207R00000X · License 002851 (NY)
1112 6TH AVE STE 200, Tacoma, WA 98405

Other Identifiers 1

Medicaid2096205WA

Accepted 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

Kalyan Chakravarthy Kanneganti M.d 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 ID9436242039
PECOS Enrollment IDI20180410002810
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 16

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.
122 services101 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
118 services117 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
100 services99 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
78 services75 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
73 services73 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.
69 services58 patients

Hospital Affiliations CMS Care Compare 4

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

Harrison Medical Center

Acute Care Hospitals · Bremerton, WA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number500039
Location2520 Cherry AvenueBremerton, WA 98310 · Kitsap County
Emergency services Birthing friendly

St Joseph Medical Center

Acute Care Hospitals · Tacoma, WA
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number500108
Location1717 South J StreetTacoma, WA 98405 · Pierce County
Emergency services Birthing friendly

St Francis Community Hospital

Acute Care Hospitals · Federal Way, WA
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number500141
Location34515 9th Avenue SFederal Way, WA 98003 · King County
Emergency services Birthing friendly

St Anthony Hospital

Acute Care Hospitals · Gig Harbor, WA
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number500151
Location11567 Canterwood Boulevard NWGig Harbor, WA 98332 · Pierce County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98405 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
$130.99 typical visit price
range $57.27 – $172.80
Typical copayment $32.74 (range $14.31 – $43.20)
Most-billed visit code 99204
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.

Other Providers at the Same Location NPPES 6

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

Nurse Practitioner (Family)
1112 6TH AVE STE 200
TACOMA, WA 98405
Internal Medicine (Gastroenterology)
1112 6TH AVE STE 200
TACOMA, WA 98405
Physician Assistant
1112 6TH AVE STE 200
TACOMA, WA 98405
Physician Assistant (Medical)
1112 6TH AVE STE 200
TACOMA, WA 98405
Internal Medicine (Gastroenterology)
1112 6TH AVE STE 200
TACOMA, WA 98405
Internal Medicine (Gastroenterology)
1112 6TH AVE STE 200
TACOMA, WA 98405

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 Kalyan Kanneganti's NPI number?

The NPI number for Kalyan Kanneganti is 1578769303. It was assigned to this individual provider in the NPPES registry on June 27, 2007.

Where is Kalyan Kanneganti located?

Kalyan Kanneganti practices at 1112 6th Ave Ste 200, Tacoma, WA 98405. The listed phone number is (253) 272-8664.

What is Kalyan Kanneganti's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Kalyan Kanneganti enrolled in Medicare?

Yes. Kalyan Kanneganti 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 Kalyan Kanneganti accept?

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

According to CMS data, Kalyan Kanneganti is affiliated with Harrison Medical Center, St Joseph Medical Center, St Francis Community Hospital and St Anthony Hospital.

When was this NPI record last updated?

The NPPES record for Kalyan Kanneganti was last updated on December 4, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.