1. Home
  2. Directory
  3. New York
  4. Rochester
  5. Pain Medicine
  6. NPI Profile

DR. HEMANT KALIA MD MPH
NPI 1689879959
Pain Medicine - Interventional Pain Medicine in Rochester, NY

Active since June 18, 2007PECOS EnrolledAccepts Medicare Assignment
77.25/100
CMS Quality Rating
500 HELENDALE RD STE LL20, ROCHESTER, NY 14609(585) 600-7246(585) 207-2466 Get Directions Write a Review

NPPES record last updated: December 17, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 17, 2025, Dec 10, 2025, May 14, 2025 and 4 more (7 updates tracked since 2016).

About Dr. Hemant Kalia Md Mph NPPES

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

DR. HEMANT KALIA MD MPH (NPI 1689879959) is an individual interventional pain medicine provider in Rochester, New York, licensed in New York (27355901) and active in the NPI registry since June 2007. He is enrolled in Medicare PECOS, is affiliated with Mount St. Mary's Hospital & Health Center, and maintains a secondary practice location in Williamsville.

NPPES Registry Identity

NPI1689879959
Entity TypeIndividualMale
Primary Taxonomy208VP0014X
Provider Legal NameDR. HEMANT KALIACredential: MD MPH
Location Address500 HELENDALE RD STE LL20Rochester, NY 14609-3125
Mailing Address500 Helendale Rd Ste Ll20Rochester, NY 14609-3125 · (585) 600-7246 · Fax (585) 207-2466
Phone(585) 600-7246
Fax(585) 207-2466
Sole ProprietorNo
Medical School CMSOtherGraduated 2003
Enumeration DateJune 18, 2007
Last NPPES UpdateDecember 17, 20257 updates tracked since enumeration
NPPES CertifiedDecember 17, 2025
✔ NPI 1689879959 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPain Medicine · Interventional Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code208VP0014X
License✔ Licensed in NY · 27355901
Definition
Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.
Also ListedPhysical Medicine & Rehabilitation · Pain MedicineTaxonomy 2081P2900X · License 273559 (NY)
500 HELENDALE RD STE LL20, Rochester, NY 14609
Open in Google Maps ↗

Secondary Practice Location 1

Location 1400 International DrWilliamsville, NY 14221-5771 · Phone (716) 631-3555

Other Identifiers 2

Medicaid03796605NY
OtherP01639210NY · Medicare Rr

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Hemant Kalia Md Mph 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 ID1355574708
PECOS Enrollment IDI20140509000406, I20240106000384
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.

Medicare Billing Reassignments

8

Medicare enrollment records show Hemant Kalia reassigns Medicare billing to 8 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Kalia Medical Consultancy PLLC
Same address
Medical Specialty
500 HELENDALE RD, STE LL20
Rochester, NY 14609
  • Reassigned Medicare billing, New York enrollment
NPI 1487541488 (585) 600-7246
Anthony L. Jordan Health Corporation
1.8 mi
Federally Qualified Health Center (FQHC)
151 PARSELLS AVE, JORDAN HEALTH AT COMMUNITY PLACE
Rochester, NY 14609
  • Reassigned Medicare billing, New York enrollment
  • 38 clinicians in this Medicare group
NPI 1568711596 (585) 454-7530
The Unity Hospital Of Rochester
2.2 mi
General Acute Care Hospital
100 KINGS HWY S
Rochester, NY 14617
  • Reassigned Medicare billing, New York enrollment
  • 1,442 clinicians in this Medicare group
NPI 1457395766 (585) 922-1900
Rochester General Hospital
2.3 mi
General Acute Care Hospital
1425 PORTLAND AVE
Rochester, NY 14621
  • Reassigned Medicare billing, New York enrollment
  • 2,285 clinicians in this Medicare group
NPI 1063531929 (585) 922-4000
United Memorial Medical Center
34 mi
Family Medicine
127 NORTH ST
Batavia, NY 14020
  • Reassigned Medicare billing, New York enrollment
  • 782 clinicians in this Medicare group
NPI 1669747085 (585) 343-6030
Wyoming County
42 mi
Internal Medicine
400 N MAIN ST
Warsaw, NY 14569
  • Reassigned Medicare billing, New York enrollment
  • 76 clinicians in this Medicare group
NPI 1184030017 (585) 786-8940
Brain & Spine Medical Services PLLC
62 mi
Neurological Surgery
400 INTERNATIONAL DRIVE
Williamsville, NY 14221
  • Reassigned Medicare billing, New York enrollment
  • 59 clinicians in this Medicare group
NPI 1073631644 (716) 631-3555
Buffalo Spine Medicine & Rehab PLLC
62 mi
Physical Medicine & Rehabilitation
100 COLLEGE PARKWAY, SUITE 100
Williamsville, NY 14221
  • Reassigned Medicare billing, New York enrollment
  • 10 clinicians in this Medicare group
NPI 1326394701 (716) 626-0093

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 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.
81 services46 patients
Testing for presence of drug, by chemistry analyzers 80307
Chemistry analyzers are used to detect the presence of drugs in your system. This test involves taking a small sample of your blood or urine. The sample is then analyzed for specific substances. The results help in understanding your health condition better.
78 services63 patients
Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms G0481
A definitive drug test is a detailed analysis used to identify specific drugs in your system. It uses advanced techniques, such as gc/ms and lc/ms, to detect and distinguish between different drugs, even those with similar structures.
64 services54 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.
42 services32 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.
32 services18 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.
20 services16 patients

Hospital Affiliations CMS Care Compare

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

Mount St. Mary's Hospital & Health Center

Acute Care Hospitals · Lewiston, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number330188
Location5300 Military RoadLewiston, NY 14092 · Niagara County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14609 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
$126.40 typical visit price
range $54.87 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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.

77.25/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality72.02
Promoting Interoperability61
Improvement Activities40
Cost78.98

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 Hemant Kalia's NPI number?

The NPI number for Hemant Kalia is 1689879959. It was assigned to this individual provider in the NPPES registry on June 18, 2007.

Where is Hemant Kalia located?

Hemant Kalia practices at 500 Helendale Rd Ste Ll20, Rochester, NY 14609. The listed phone number is (585) 600-7246.

What is Hemant Kalia's specialty?

The primary specialty registered for this NPI is Pain Medicine, specializing in Interventional Pain Medicine, with taxonomy code 208VP0014X.

Is Hemant Kalia enrolled in Medicare?

Yes. Hemant Kalia 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.

Which organizations bill Medicare for Hemant Kalia's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Hemant Kalia reassigns Medicare benefits to 8 organizations: Kalia Medical Consultancy PLLC (Rochester, NY), Anthony L. Jordan Health Corporation (Rochester, NY), The Unity Hospital Of Rochester (Rochester, NY), Rochester General Hospital (Rochester, NY), United Memorial Medical Center (Batavia, NY) and 3 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Hemant Kalia's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Hemant Kalia affiliated with any hospitals?

According to CMS data, Hemant Kalia is affiliated with Mount St. Mary's Hospital & Health Center.

When was this NPI record last updated?

The NPPES record for Hemant Kalia was last updated on December 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.