KALYAN KUMAR REDDY MOGILI MD
NPI 1619288354
Hospitalist in Monroe, NC

Active since June 28, 2010PECOS EnrolledAccepts Medicare Assignment
95.35/100
CMS Quality Rating
600 HOSPITAL DR, MONROE, NC 28112(704) 993-2240 Get Directions Write a Review

NPPES record last updated: July 15, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 15, 2024, May 4, 2023, Mar 9, 2023 and 61 more (64 updates tracked since 2016).

About Kalyan Kumar Reddy Mogili Md NPPES

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

KALYAN KUMAR REDDY MOGILI MD (NPI 1619288354) is an individual hospitalist provider in Monroe, North Carolina, licensed in North Carolina (2013-02063) and active in the NPI registry since June 2010. He is enrolled in Medicare PECOS, is affiliated with Atrium Health Union, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1619288354
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameKALYAN KUMAR REDDY MOGILICredential: MD
Location Address600 HOSPITAL DRMonroe, NC 28112-6000
Mailing AddressPo Box 19305Charlotte, NC 28219-9305
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateJune 28, 2010
Last NPPES UpdateJuly 15, 202464 updates tracked since enumeration
NPI 1619288354 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License Licensed in NC · 2013-02063
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedFamily MedicineTaxonomy 207Q00000X · License 2013-02063 (NC)
600 HOSPITAL DR, Monroe, NC 28112

Secondary Practice Locations 4

Location 110628 Park RdCharlotte, NC 28210-8407 · Phone (704) 667-7070
Location 28800 N Tryon StCharlotte, NC 28262-3300 · Phone (704) 863-6241
Location 31000 Blythe BlvdCharlotte, NC 28203-5812 · Phone (704) 355-0720
Location 42001 Vail AveCharlotte, NC 28207-1248 · Phone (704) 304-6070

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 Kumar Reddy Mogili 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 ID2163657289
PECOS Enrollment IDI20140115000803
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 4

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.
361 services158 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.
125 services71 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
99 services99 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.
62 services62 patients

Hospital Affiliations CMS Care Compare

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

Atrium Health Union

Acute Care Hospitals · Monroe, NC
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340130
Location600 Hospital DrMonroe, NC 28112 · Union County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28112 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
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

95.35/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality84.22
Promoting Interoperability100
Improvement Activities40

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.

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
2 suppliers16 claims16 services$46.06 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
4 suppliers38 claims38 services$16.34 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
3 suppliers26 claims26 services$69.79 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.

Dietitian, Registered
600 HOSPITAL DR
MONROE, NC 28112
Physician Assistant
600 HOSPITAL DR
MONROE, NC 28112
Nurse Anesthetist, Certified Registered
600 HOSPITAL DR
MONROE, NC 28112
Psychiatry & Neurology (Neurology)
600 HOSPITAL DR, STE A
MONROE, NC 28112
Internal Medicine
600 HOSPITAL DR
MONROE, NC 28112
Anesthesiology
600 HOSPITAL DR
MONROE, NC 28112
Dietitian, Registered
600 HOSPITAL DR
MONROE, NC 28112
Anesthesiology
600 HOSPITAL DR
MONROE, NC 28112

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 Kumar Reddy Mogili's NPI number?

The NPI number for Kalyan Kumar Reddy Mogili is 1619288354. It was assigned to this individual provider in the NPPES registry on June 28, 2010.

Where is Kalyan Kumar Reddy Mogili located?

Kalyan Kumar Reddy Mogili practices at 600 Hospital Dr, Monroe, NC 28112. The listed phone number is (704) 993-2240.

What is Kalyan Kumar Reddy Mogili's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Kalyan Kumar Reddy Mogili enrolled in Medicare?

Yes. Kalyan Kumar Reddy Mogili 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 Kumar Reddy Mogili accept?

Health plans from Blue Cross and Blue Shield of NC list Kalyan Kumar Reddy Mogili 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 Kumar Reddy Mogili affiliated with any hospitals?

According to CMS data, Kalyan Kumar Reddy Mogili is affiliated with Atrium Health Union.

When was this NPI record last updated?

The NPPES record for Kalyan Kumar Reddy Mogili was last updated on July 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.