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DEEPTI KALLAM MD
NPI 1609209949
Internal Medicine - Hematology & Oncology in Dallas, TX

Active since August 09, 2013PECOS EnrolledAccepts Medicare Assignment
3107 W CAMP WISDOM RD STE 110, DALLAS, TX 75237(214) 765-2222(214) 269-9902 Get Directions Write a Review

NPPES record last updated: July 23, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 23, 2024, Mar 1, 2023, Mar 19, 2021 and 4 more (7 updates tracked since 2018).

About Deepti Kallam Md NPPES

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

DEEPTI KALLAM MD (NPI 1609209949) is an individual hematology & oncology provider in Dallas, Texas, licensed in Ohio (35C000445) and active in the NPI registry since August 2013. She is enrolled in Medicare PECOS, is affiliated with Regional West Medical Center, and maintains 6 additional practice locations.

NPPES Registry Identity

NPI1609209949
Entity TypeIndividualFemale
Primary Taxonomy207RH0003X
Provider Legal NameDEEPTI KALLAMCredential: MD
Location Address3107 W CAMP WISDOM RD STE 110Dallas, TX 75237-2600
Mailing Address3107 W Camp Wisdom Rd Ste 110Dallas, TX 75237-2600 · (214) 765-2222 · Fax (214) 269-9902
Phone(214) 765-2222
Fax(214) 269-9902
Sole ProprietorYes
Medical School CMSOtherGraduated 2009
Enumeration DateAugust 9, 2013
Last NPPES UpdateJuly 23, 20247 updates tracked since enumeration
NPPES CertifiedJuly 23, 2024
✔ NPI 1609209949 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
Licenses✔ Licensed in OH · 35C000445✔ Licensed in TX · S1620
Definition

An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

Also ListedInternal Medicine · Medical OncologyTaxonomy 207RX0202X · License S1620 (TX), 35C00445 (OH)
3107 W CAMP WISDOM RD STE 110, Dallas, TX 75237
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Other Names 1

Former Name (1)Bala Deepti Gangireddy

Secondary Practice Locations 6

Location 1500 W Main St Ste 380Lewisville, TX 75057-3606 · Phone (214) 379-2700 · Fax (972) 869-3875
Location 21501 Kings Hwy, Internal MedicineShreveport, LA 71103-4228 · Phone (318) 813-2528
Location 37415 Las Colinas Blvd Ste 100Irving, TX 75063-7569 · Phone (214) 379-2700 · Fax (972) 869-3875
Location 4431 E State Highway 114 Ste 470Southlake, TX 76092-4415 · Phone (214) 379-2700 · Fax (972) 869-3875
Location 51301 W Henderson St Ste ACleburne, TX 76033-5117 · Phone (682) 244-6688 · Fax (817) 820-0698
Location 610647 Canoe DrCoppell, TX 75019-5894 · Phone (000) 000-0000

Other Identifiers 1

Medicaid200122442MO

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Texas, CareSource 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

Deepti Kallam 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 ID5496054587
PECOS Enrollment IDI20230322000736, I20260223000190
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 3

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.
361 services154 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.
45 services38 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.
14 services14 patients

Hospital Affiliations CMS Care Compare 5

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

Regional West Medical Center

Acute Care Hospitals · Scottsbluff, NE
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number280061
Location4021 Ave BScottsbluff, NE 69361 · Scott Bluff County
Emergency services Birthing friendly

Box Butte General Hospital

Critical Access Hospitals · Alliance, NE
OwnershipGovernment - Local
CMS Certification Number281360
LocationP O Box 810, 2101 Box Butte AveAlliance, NE 69301 · Box Butte County
Emergency services

Lima Memorial Health System

Acute Care Hospitals · Lima, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number360009
Location1001 Bellefontaine AvenueLima, OH 45804 · Allen County
Emergency services Birthing friendly

Mercy Health-St Rita's Medical Center

Acute Care Hospitals · Lima, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360066
Location730 West Market StreetLima, OH 45801 · Allen County
Emergency services Birthing friendly

Community Hospital

Critical Access Hospitals · Torrington, WY
OwnershipVoluntary non-profit - Private
CMS Certification Number531307
Location2000 Campbell DriveTorrington, WY 82240 · Goshen County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75237 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
$172.86 typical visit price
range $57.18 – $172.86
Typical copayment $43.21 (range $14.29 – $43.21)
Most-billed visit code 99205
Established Patient
$100.80 typical visit price
range $18.48 – $141.20
Typical copayment $25.20 (range $4.62 – $35.30)
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

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

DR. DAISY CHOU M.D.
Surgery (Vascular Surgery)
3107 W CAMP WISDOM RD STE 110
DALLAS, TX 75237
Dallas County (866) 552-4866

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 Deepti Kallam's NPI number?

The NPI number for Deepti Kallam is 1609209949. It was assigned to this individual provider in the NPPES registry on August 9, 2013. The provider is also known as Bala Deepti Gangireddy.

Where is Deepti Kallam located?

Deepti Kallam practices at 3107 W Camp Wisdom Rd Ste 110, Dallas, TX 75237. The listed phone number is (214) 765-2222.

What is Deepti Kallam's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Deepti Kallam enrolled in Medicare?

Yes. Deepti Kallam 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 Deepti Kallam accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Texas, CareSource, MedMutual and Molina Healthcare list Deepti Kallam 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 Deepti Kallam affiliated with any hospitals?

According to CMS data, Deepti Kallam is affiliated with Regional West Medical Center, Box Butte General Hospital, Lima Memorial Health System, Mercy Health-St Rita's Medical Center and Community Hospital.

When was this NPI record last updated?

The NPPES record for Deepti Kallam was last updated on July 23, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.