KALPANA PETHE MD
NPI 1811965148
Pediatrics in Boston, MA

Active since March 11, 2006PECOS Enrolled
300 LONGWOOD AVE, PRIMARY CARE CENTER, BOSTON, MA 02115(617) 355-6518(617) 730-0505 Get Directions Write a Review

NPPES record last updated: October 17, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Kalpana Pethe Md NPPES

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

KALPANA PETHE MD (NPI 1811965148) is an individual pediatrics provider in Boston, Massachusetts, licensed in New York (276486) and active in the NPI registry since March 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1811965148
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameKALPANA PETHECredential: MD
Location Address300 LONGWOOD AVE, PRIMARY CARE CENTERBoston, MA 02115-5724
Mailing Address3959 BroadwayNew York, NY 10032-1559 · (212) 305-6227
Fax(617) 730-0505
Sole ProprietorNo
Enumeration DateMarch 11, 2006
Last NPPES UpdateOctober 17, 2024
NPPES CertifiedOctober 17, 2024
✔ NPI 1811965148 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Licenses✔ Licensed in NY · 276486✔ Licensed in MA · 238594
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
300 LONGWOOD AVE, Boston, MA 02115

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kalpana Pethe Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Kalpana Pethe reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Surgery
622 W 168TH ST
New York, NY 10032
  • Reassigned Medicare billing, New York enrollment
  • Also billed through NPI 1982993184 (New York)
  • 3,922 clinicians in this Medicare group

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02115 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
$97.64 typical visit price
range $63.72 – $189.86
Typical copayment $24.41 (range $15.93 – $47.46)
Most-billed visit code 99203
Established Patient
$111.18 typical visit price
range $21.07 – $155.29
Typical copayment $27.79 (range $5.26 – $38.82)
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 20

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

Social Worker (Clinical)
300 LONGWOOD AVE
BOSTON, MA 02115
Nurse Practitioner (Psychiatric/Mental Health)
300 LONGWOOD AVE
BOSTON, MA 02115
Anesthesiology (Pediatric Anesthesiology)
300 LONGWOOD AVE
BOSTON, MA 02115
Physical Therapist
300 LONGWOOD AVE
BOSTON, MA 02115
Social Worker (Clinical)
300 LONGWOOD AVE, CHILDREN'S HOSPITAL BOSTON
BOSTON, MA 02115
Pediatrics
300 LONGWOOD AVE, BADER 203
BOSTON, MA 02115
Nurse Practitioner (Pediatrics)
300 LONGWOOD AVE, HUNNEWELL BUILDING 322
BOSTON, MA 02115
Pediatrics (Neonatal-Perinatal Medicine)
300 LONGWOOD AVE
BOSTON, MA 02115

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 Kalpana Pethe's NPI number?

The NPI number for Kalpana Pethe is 1811965148. It was assigned to this individual provider in the NPPES registry on March 11, 2006.

Where is Kalpana Pethe located?

Kalpana Pethe practices at 300 Longwood Ave Primary Care Center, Boston, MA 02115. The listed phone number is (617) 355-6518.

What is Kalpana Pethe's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Kalpana Pethe enrolled in Medicare?

Yes. Kalpana Pethe is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kalpana Pethe's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kalpana Pethe reassigns Medicare benefits to Trustees Of Columbia University In The City Of New York (New York, NY). The 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 Kalpana Pethe's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kalpana Pethe was last updated on October 17, 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.