MR. KALPESH GANATRA MD
NPI 1700878980
Specialist in Hastings, NE

Q: What is Kalpesh Ganatra's NPI number?

The NPI number for Kalpesh Ganatra is 1700878980. It was assigned to this individual provider in the NPPES registry on August 16, 2005.

Q: What is Kalpesh Ganatra's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Q: When was this NPI record last updated?

The NPPES record for Kalpesh Ganatra was last updated on September 30, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since August 16, 2005PECOS EnrolledAccepts Medicare Assignment

78.83/100

CMS Quality Rating

715 N KANSAS AVE, HASTINGS PULMONARY & SLEEP CLINIC, HASTINGS, NE 68901(402) 460-5787 Get Directions Write a Review

NPPES record last updated: September 30, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Mr. Kalpesh Ganatra Md NPPES

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

MR. KALPESH GANATRA MD (NPI 1700878980) is an individual specialist in Hastings, Nebraska, licensed in Nebraska (23174) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS, is affiliated with Mary Lanning Healthcare, and is a graduate of Other (1998).

NPPES Registry Identity

NPI1700878980

Entity TypeIndividualMale

Primary Taxonomy174400000X

Provider Legal NameMR. KALPESH GANATRACredential: MD

Location Address715 N KANSAS AVE, HASTINGS PULMONARY & SLEEP CLINICHastings, NE 68901-4453

Mailing Address715 N Kansas Ave, Hastings Pulmonary & Sleep ClinocHastings, NE 68901-4483 · (402) 460-5787

Phone(402) 460-5787

Sole ProprietorYes

Medical School CMSOtherGraduated 1998

Enumeration DateAugust 16, 2005

Last NPPES UpdateSeptember 30, 2010

✔ NPI 1700878980 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in NE · 23174

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

715 N KANSAS AVE, Hastings, NE 68901

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Other Identifiers 3

Other23174NE · Nebraska State License

Medicare UPINI39113NE

Medicare PIN279825NE

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter Health 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

Mr. Kalpesh Ganatra 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 ID2062444516

PECOS Enrollment IDI20050906000304

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 19

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.

464 services370 patients

Test to measure expiratory airflow and volume changes before and after medication administration 94060

This procedure measures how air flows in and out of your lungs. It's done before and after medication to see if the treatment improves your breathing. It's a simple, non-invasive test that involves breathing into a device called a spirometer.

348 services346 patients

Test to examine how well the lungs exchange gases 94729

This is a test called a pulmonary function test, which helps understand the efficiency of your lungs. It measures how much air your lungs can hold, how quickly you can move air in and out of your lungs, and how well your lungs put oxygen into and remove carbon dioxide from your blood.

305 services305 patients

Test to determine lung volumes using sensors 94726

This test, called spirometry, measures lung capacity using sensors. You breathe into a mouthpiece attached to a device that records the amount and rate of air you inhale and exhale. It helps diagnose and monitor lung conditions.

284 services284 patients

Home sleep test (hst) with type iii portable monitor, unattended; minimum of 4 channels: 2 respiratory movement/airflow, 1 ecg/heart rate and 1 oxygen saturation G0399

A Home Sleep Test (HST) with a Type III Portable Monitor is an unattended test that records your breathing, heart rate, and oxygen levels during sleep. This test uses a minimum of 4 channels to monitor these parameters, helping to diagnose sleep disorders.

222 services220 patients

Sleep study in sleep lab with continuous airway pressure (6 years or older) 95811

A sleep study in a sleep lab with continuous airway pressure is a test for individuals aged 6 and above. It monitors your sleep patterns to check for disorders like sleep apnea. Continuous airway pressure helps keep your airways open while you sleep, improving your breathing.

188 services181 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.

153 services149 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.

112 services112 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

105 services87 patients

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.

63 services28 patients

Sleep study in sleep lab (6 years or older) 95810

A sleep study in a sleep lab is a non-invasive overnight test that monitors your body while you sleep. It helps doctors understand your sleep patterns and identify any issues like sleep apnea or insomnia. You'll be connected to equipment that tracks your heart rate, brain waves, breathing, and movements.

53 services53 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

34 services29 patients

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

31 services15 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

26 services26 patients

Irrigation and suction of lung airways to obtain cells using an endoscope 31624

This is a procedure where a thin, flexible tube called an endoscope is inserted through your mouth into the lungs. A small amount of saline is then introduced to wash the airways. The fluid, along with cells from the lung, is suctioned back for analysis.

23 services21 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

23 services23 patients

Exam of lung airways and sampling of lymph nodes using an endoscope and ultrasound guidance, 1-2 lymph nodes 31652

This procedure involves a special tube with a camera (endoscope) entering your lung airways. Guided by ultrasound, it collects samples from 1-2 lymph nodes. This helps doctors understand and diagnose potential issues in your lungs.

17 services16 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.

16 services16 patients

Test to measure expiratory airflow and volume 94010

This test, known as spirometry, assesses how well your lungs work. It measures how much air you can inhale, how much you can exhale and how quickly you can exhale. It's non-invasive and helps diagnose conditions like asthma or COPD.

11 services11 patients

Hospital Affiliations CMS Care Compare 5

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

Mary Lanning Healthcare

Acute Care Hospitals · Hastings, NE

3/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number280032

Location715 N St Joseph AveHastings, NE 68901 · Adams County

Emergency services Birthing friendly

Fillmore County Hospital

Critical Access Hospitals · Geneva, NE

OwnershipGovernment - Local

CMS Certification Number281301

LocationP O Box 193, 1900 F StreetGeneva, NE 68361 · Fillmore County

Emergency services

Memorial Hospital

Critical Access Hospitals · Aurora, NE

OwnershipVoluntary non-profit - Private

CMS Certification Number281320

Location1423 Seventh StAurora, NE 68818 · Hamilton County

Emergency services

Phelps Memorial Health Center

Critical Access Hospitals · Holdrege, NE

OwnershipVoluntary non-profit - Private

CMS Certification Number281362

Location1215 Tibbals StHoldrege, NE 68949 · Phelps County

Emergency services

Community Hospital

Critical Access Hospitals · Mccook, NE

3/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number281363

LocationP O Box 1328, 1301 East H StMccook, NE 69001 · Red Willow County

Emergency services

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.

78.83/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

69.52

Promoting Interoperability

100

Improvement Activities

Cost

59.92

Referred Medical Equipment & Supplies CMS DME claims 35

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tubing with integrated heating element for use with positive airway pressure device A4604

DME-Other DME · category DE001N

18 suppliers142 claims142 services$42.90 avg. paid by Medicare

Administration set, with small volume nonfiltered pneumatic nebulizer, disposable A7003

DME-Other DME · category DE000N

4 suppliers29 claims52 services$1.68 avg. paid by Medicare

Full face mask used with positive airway pressure device, each A7030

DME-Other DME · category DE001N

24 suppliers190 claims190 services$108.85 avg. paid by Medicare

Face mask interface, replacement for full face mask, each A7031

DME-Other DME · category DE001N

22 suppliers225 claims544 services$41.67 avg. paid by Medicare

Cushion for use on nasal mask interface, replacement only, each A7032

DME-Other DME · category DE001N

14 suppliers88 claims500 services$23.24 avg. paid by Medicare

Pillow for use on nasal cannula type interface, replacement only, pair A7033

DME-Other DME · category DE001N

9 suppliers47 claims256 services$17.15 avg. paid by Medicare

Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034

DME-Other DME · category DE001N

16 suppliers136 claims136 services$68.87 avg. paid by Medicare

Headgear used with positive airway pressure device A7035

DME-Other DME · category DE001N

24 suppliers176 claims176 services$23.31 avg. paid by Medicare

Tubing used with positive airway pressure device A7037

DME-Other DME · category DE001N

20 suppliers164 claims164 services$21.37 avg. paid by Medicare

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

23 suppliers305 claims1,589 services$2.99 avg. paid by Medicare

Filter, non disposable, used with positive airway pressure device A7039

DME-Other DME · category DE001N

11 suppliers34 claims34 services$8.52 avg. paid by Medicare

Water chamber for humidifier, used with positive airway pressure device, replacement, each A7046

DME-Other DME · category DE001N

16 suppliers127 claims127 services$13.45 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

9 suppliers291 claims292 services$18.80 avg. paid by Medicare

Portable liquid oxygen system, rental; includes portable container, supply reservoir, humidifier, flowmeter, refill adaptor, contents gauge, cannula or mask, and tubing E0434

DME-Oxygen and Supplies · category DC000N

1 supplier36 claims36 services$36.33 avg. paid by Medicare

Stationary oxygen contents, liquid, 1 month's supply = 1 unit E0442

DME-Oxygen and Supplies · category DC000N

1 supplier12 claims12 services$50.60 avg. paid by Medicare

Portable oxygen contents, gaseous, 1 month's supply = 1 unit E0443

DME-Oxygen and Supplies · category DC000N

2 suppliers14 claims18 services$50.74 avg. paid by Medicare

Portable oxygen contents, liquid, 1 month's supply = 1 unit E0444

DME-Oxygen and Supplies · category DC000N

2 suppliers23 claims23 services$48.16 avg. paid by Medicare

Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466

DME-Other DME · category DE005N

7 suppliers135 claims135 services$884.36 avg. paid by Medicare

Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device) E0470

DME-Other DME · category DE001N

5 suppliers50 claims50 services$122.02 avg. paid by Medicare

Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device) E0471

DME-Other DME · category DE001N

4 suppliers16 claims17 services$265.79 avg. paid by Medicare

High frequency chest wall oscillation system, with full anterior and/or posterior thoracic region receiving simultaneous external oscillation, includes all accessories and supplies, each E0483

DME-Other DME · category DE000N

2 suppliers23 claims23 services$836.96 avg. paid by Medicare

Humidifier, heated, used with positive airway pressure device E0562

DME-Other DME · category DE001N

9 suppliers23 claims23 services$175.99 avg. paid by Medicare

Humidifier, heated, used with positive airway pressure device E0562

DME-Other DME · category DE001N

3 suppliers79 claims79 services$14.90 avg. paid by Medicare

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

6 suppliers46 claims47 services$6.54 avg. paid by Medicare

Continuous positive airway pressure (cpap) device E0601

DME-Other DME · category DE001N

17 suppliers295 claims297 services$45.00 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

19 suppliers702 claims710 services$108.01 avg. paid by Medicare

Portable oxygen concentrator, rental E1392

DME-Oxygen and Supplies · category DC002N

8 suppliers142 claims142 services$36.43 avg. paid by Medicare

Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms J7605

DME-Drugs Administered Through DME · category DG006N

3 suppliers32 claims1,920 services$4.63 avg. paid by Medicare

Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms J7606

DME-Drugs Administered Through DME · category DG006N

3 suppliers15 claims900 services$6.24 avg. paid by Medicare

Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613

DME-Drugs Administered Through DME · category DG006N

8 suppliers33 claims9,052 services$0.03 avg. paid by Medicare

Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme J7620

DME-Drugs Administered Through DME · category DG006N

8 suppliers47 claims3,479 services$0.10 avg. paid by Medicare

Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg J7626

DME-Drugs Administered Through DME · category DG000N

9 suppliers65 claims3,810 services$0.79 avg. paid by Medicare

Revefenacin inhalation solution, fda-approved final product, non-compounded, administered through dme, 1 microgram J7677

DME-Drugs Administered Through DME · category DG006N

1 supplier21 claims110,250 services$0.15 avg. paid by Medicare

Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing K0738

DME-Oxygen and Supplies · category DC000N

2 suppliers28 claims28 services$38.16 avg. paid by Medicare

Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513

DME-Other DME · category DE000N

15 suppliers122 claims122 services$25.21 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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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.

MR. DANIEL BIZZELL PHD

Specialist

715 N KANSAS AVE
HASTINGS, NE 68901

Adams County (402) 463-7711

MS. ANN M HARMS APRN, BC

Specialist

715 N KANSAS AVE
HASTINGS, NE 68901

Adams County (402) 463-7711

HASTINGS LASER & EYE SURGERY CENTER

Clinic/Center (Ophthalmologic Surgery)

715 N KANSAS AVE, STE 303
HASTINGS, NE 68901

Adams County (402) 462-5888

DR. RAMEZ J HABASH MD

Internal Medicine (Nephrology)

715 N KANSAS AVE, # 202
HASTINGS, NE 68901

Adams County (402) 463-2344

MR. GLEN PALMER PHD

Specialist

715 N KANSAS AVE
HASTINGS, NE 68901

Adams County (402) 463-7711

WENDY BAUMEISTER LMHP

Specialist

715 N KANSAS AVE
HASTINGS, NE 68901

Adams County (402) 463-7711

NEPHROLOGY MEDICAL ASSOCIATES OF GA LLC

Internal Medicine (Nephrology)

715 N KANSAS AVE, 202
HASTINGS, NE 68901

Adams County (402) 463-2344

THE MARY LANNING MEMORIAL HOSPITAL ASSOCIATION

Internal Medicine (Pulmonary Disease)

715 N KANSAS AVE, SUITE 101
HASTINGS, NE 68901

Adams County (402) 460-5787

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 Kalpesh Ganatra's NPI number?

The NPI number for Kalpesh Ganatra is 1700878980. It was assigned to this individual provider in the NPPES registry on August 16, 2005.

Where is Kalpesh Ganatra located?

Kalpesh Ganatra practices at 715 N Kansas Ave Hastings Pulmonary & Sleep Clinic, Hastings, NE 68901. The listed phone number is (402) 460-5787.

What is Kalpesh Ganatra's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Kalpesh Ganatra enrolled in Medicare?

Yes. Kalpesh Ganatra 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 Kalpesh Ganatra accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and Blue Cross and Blue Shield of Nebraska and 3 other insurers list Kalpesh Ganatra 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 Kalpesh Ganatra affiliated with any hospitals?

According to CMS data, Kalpesh Ganatra is affiliated with Mary Lanning Healthcare, Fillmore County Hospital, Memorial Hospital, Phelps Memorial Health Center and Community Hospital.

When was this NPI record last updated?

The NPPES record for Kalpesh Ganatra was last updated on September 30, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.