JYOTI SWAROOP KALRA MD
NPI 1619079670
Radiology - Therapeutic Radiology in Aurora, IL

NPI Status: Active since September 01, 2006

Contact Information

1221 N HIGHLAND AVE
AURORA, IL
ZIP 60506
Phone: (630) 264-8580

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  • Individual
  • Male
  • Years of Experience 52
  • Radiology
  • Therapeutic Radiology
  • Accepts Insurance
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About JYOTI KALRA

This page provides the complete NPI Profile along with additional information for Jyoti Kalra, a provider established in Aurora, Illinois with a medical specialization in Radiology, focusing in therapeutic radiology and more than 52 years of experience. The healthcare provider is registered in the NPI registry with number 1619079670 assigned on September 2006. The practitioner's primary taxonomy code is 2085R0203X with license number 036-063005 (IL). The provider is registered as an individual and his NPI record was last updated 3 years ago.

NPI
1619079670
Provider Name
JYOTI SWAROOP KALRA MD
Gender
Male
Entity Type
Individual
Location Address
1221 N HIGHLAND AVE AURORA, IL 60506
Location Phone
(630) 264-8580
Mailing Address
29373 NETWORK PL CHICAGO, IL 60673
Mailing Phone
(847) 390-5900
Medical School Name
OTHER
Graduation Year
1975
Is Sole Proprietor?
No
Enumeration Date
09-01-2006
Last Update Date
06-27-2023
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Location Map

Secondary Locations

  • 1163 W Stephenson St
    Freeport, IL 61032
    (815) 599-7000
  • 4440 W 95th St
    Oak Lawn, IL 60453
    (630) 264-8580

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Radiology Therapeutic Radiology

Taxonomy Code
2085R0203X
Type
Allopathic & Osteopathic Physicians
License No.
036-063005
License State
IL
Taxonomy Description
Therapeutic Radiology certificate name was changed to Radiation Oncology. Use Radiation Oncology.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
12085R0001XAllopathic & Osteopathic Physicians

Radiology
Radiation Oncology

036-063005 (IL)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Complete Gold - EPO
  • Complete Gold + Vision + Adult Dental - EPO
  • Complete Silver - EPO
  • Complete Silver + Vision + Adult Dental - EPO
  • Elite Bronze - EPO
  • Elite Bronze + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Everyday Gold - EPO
  • Everyday Gold + Vision + Adult Dental - EPO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Elite Bronze - HMO
  • Elite Bronze + Vision + Adult Dental - HMO
  • Elite Gold - HMO
  • Elite Gold + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Everyday Gold - HMO
  • Everyday Gold + Vision + Adult Dental - HMO
  • Clear Gold - EPO
  • Clear Gold + Vision + Adult Dental - EPO
  • Complete Gold - EPO
  • Complete Gold + Vision + Adult Dental - EPO
  • Elite Silver - EPO
  • Elite Silver + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Focused Silver - EPO
  • Focused Silver + Vision + Adult Dental - EPO
  • QUARTZ GUNDERSEN PERFORMANCE BRONZE $0 MEDICAL DED - HMO
  • QUARTZ GUNDERSEN PERFORMANCE BRONZE $10,150 DED - HMO
  • QUARTZ GUNDERSEN PERFORMANCE BRONZE (DENTAL & VISION) $0 MEDICAL DED - HMO
  • QUARTZ GUNDERSEN PERFORMANCE BRONZE (DENTAL & VISION) $10,150 DED - HMO
  • QUARTZ GUNDERSEN PERFORMANCE BRONZE (DENTAL & VISION) STANDARD EASY PRICING - HMO
  • QUARTZ GUNDERSEN PERFORMANCE BRONZE STANDARD EASY PRICING - HMO
  • QUARTZ GUNDERSEN PERFORMANCE CATASTROPHIC $10,600 DED - HMO
  • QUARTZ GUNDERSEN PERFORMANCE GOLD $4,000 DED - HMO
  • QUARTZ GUNDERSEN PERFORMANCE GOLD (DENTAL & VISION) $4,000 DED - HMO
  • QUARTZ GUNDERSEN PERFORMANCE GOLD (DENTAL & VISION) STANDARD EASY PRICING - HMO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
036063005MEDICAID (05)IL 

Medicare Participation & PECOS Enrollment Status

Jyoti Kalra is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Jyoti Kalra is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 6305877176

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20050822001399

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Find Provider Hospital Affiliations - Privileges

Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Jyoti Kalra is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
OSF SAINT ELIZABETH MDL CTR1100 E NORRIS DRIVE
OTTAWA, IL 61350
(815) 433-3100Acute Care Hospitals

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1619079670, we treat the final digit (0) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 70. The final step is to find the difference between that total and the next multiple of ten (70 - 70 = 0).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
6
Unchanged
Pos 3
1
Doubled → 2
Pos 4
9
Unchanged
Pos 5
0
Doubled → 0
Pos 6
7
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
6
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
0
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 1 → 2 0 → 0 9 → 18 → 9 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 6 + 2 + 9 + 0 + 7 + 1 + 8 + 6 + 1 + 4 + 24 = 70

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 70 is 70. The difference is the calculated check digit.

70 - 70 = 0
This NPI is valid
The calculated check digit is 0, which matches the last digit of 1619079670.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Physical Therapist
1221 N HIGHLAND AVE
AURORA, IL 60506
Orthopaedic Surgery
1221 N HIGHLAND AVE
AURORA, IL 60506
Surgery
1221 N HIGHLAND AVE
AURORA, IL 60506
Hospitalist
1221 N HIGHLAND AVE
AURORA, IL 60506
Internal Medicine (Cardiovascular Disease)
1221 N HIGHLAND AVE
AURORA, IL 60506
Urology
1221 N HIGHLAND AVE
AURORA, IL 60506
Obstetrics & Gynecology
1221 N HIGHLAND AVE
AURORA, IL 60506
Otolaryngology
1221 N HIGHLAND AVE
AURORA, IL 60506
Obstetrics & Gynecology
1221 N HIGHLAND AVE
AURORA, IL 60506
Internal Medicine (Gastroenterology)
1221 N HIGHLAND AVE
AURORA, IL 60506
Internal Medicine (Gastroenterology)
1221 N HIGHLAND AVE
AURORA, IL 60506
Pathology (Anatomic Pathology & Clinical Pathology)
1221 N HIGHLAND AVE
AURORA, IL 60506
Physical Therapist
1221 N HIGHLAND AVE
AURORA, IL 60506
Audiologist
1221 N HIGHLAND AVE
AURORA, IL 60506
Physical Therapist
1221 N HIGHLAND AVE
AURORA, IL 60506
Urology
1221 N HIGHLAND AVE
AURORA, IL 60506
Specialist/Technologist (Athletic Trainer)
1221 N HIGHLAND AVE, ORTHOPAEDIC DEPARTMENT
AURORA, IL 60506
Audiologist
1221 N HIGHLAND AVE
AURORA, IL 60506
Nurse Practitioner
1221 N HIGHLAND AVE
AURORA, IL 60506
Speech-Language Pathologist
1221 N HIGHLAND AVE
AURORA, IL 60506

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1619079670, enumerated as an "individual" on September 01, 2006.

The provider is located at 1221 N HIGHLAND AVE AURORA, IL 60506 and the phone number is (630) 264-8580.

Radiology with taxonomy code 2085R0203X and a focus in Therapeutic Radiology.

The provider might be accepting Accepts: Ambetter from Home State Health, Ambetter Health,. Please consult your insurance carrier or call the provider to verify.

Jyoti Kalra is affiliated with: OSF SAINT ELIZABETH MDL CTR.