DR. SHIVANI KALU MD
NPI 1922318757
Hospitalist in Seattle, WA

Active since October 14, 2010PECOS EnrolledAccepts Medicare Assignment
82.84/100
CMS Quality Rating
747 BROADWAY, SEATTLE, WA 98122(206) 215-2520(206) 386-3180 Get Directions Write a Review

NPPES record last updated: September 26, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 25, 2022, Mar 18, 2021, Nov 29, 2017 and 1 more (4 updates tracked since 2016).

About Dr. Shivani Kalu Md NPPES

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

DR. SHIVANI KALU MD (NPI 1922318757) is an individual hospitalist provider in Seattle, Washington, licensed in Washington (MD60332796) and active in the NPI registry since October 2010. She is enrolled in Medicare PECOS, is affiliated with Swedish Medical Center / Cherry Hill, and is a graduate of Other (2004).

NPPES Registry Identity

NPI1922318757
Entity TypeIndividualFemale
Primary Taxonomy208M00000X
Provider Legal NameDR. SHIVANI KALUCredential: MD
Location Address747 BROADWAYSeattle, WA 98122-4379
Mailing AddressPo Box 25608Salt Lake City, UT 84125-0608 · (206) 320-4476 · Fax (206) 568-7043
Fax(206) 386-3180
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateOctober 14, 2010
Last NPPES UpdateSeptember 26, 20234 updates tracked since enumeration
NPPES CertifiedSeptember 26, 2023
NPI 1922318757 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License Licensed in WA · MD60332796
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 ListedInternal MedicineTaxonomy 207R00000X · License MD60332796 (WA)
747 BROADWAY, Seattle, WA 98122

Other Identifiers 1

Medicaid2027691WA

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

Dr. Shivani Kalu 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 ID143455048
PECOS Enrollment IDI20131031000774
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.
258 services112 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.
58 services58 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.
55 services29 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

Hospital Affiliations CMS Care Compare 3

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

Swedish Medical Center / Cherry Hill

Acute Care Hospitals · Seattle, WA
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number500025
Location500 17th AvenueSeattle, WA 98122 · King County
Emergency services

Swedish Edmonds Hospital

Acute Care Hospitals · Edmonds, WA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number500026
Location21601 76th Avenue WestEdmonds, WA 98026 · Snohomish County
Emergency services Birthing friendly

Swedish Medical Center

Acute Care Hospitals · Seattle, WA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number500027
Location747 BroadwaySeattle, WA 98122 · King County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98122 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
$143.76 typical visit price
range $63.67 – $189.37
Typical copayment $35.94 (range $15.91 – $47.34)
Most-billed visit code 99204
Established Patient
$111.00 typical visit price
range $21.12 – $155.00
Typical copayment $27.75 (range $5.28 – $38.75)
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.

82.84/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality82.14
Promoting Interoperability100
Improvement Activities40
Cost60.65

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
100%22 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 2

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

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 suppliers23 claims23 services$64.77 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
2 suppliers22 claims22 services$32.41 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.

Genetic Counselor, MS
747 BROADWAY, SWEDISH MEDICAL CENTER
SEATTLE, WA 98122
Anesthesiology
747 BROADWAY
SEATTLE, WA 98122
Pharmacist (Pharmacotherapy)
747 BROADWAY
SEATTLE, WA 98122
Pathology (Anatomic Pathology & Clinical Pathology)
747 BROADWAY
SEATTLE, WA 98122
Pathology (Anatomic Pathology)
747 BROADWAY
SEATTLE, WA 98122
Pathology (Anatomic Pathology & Clinical Pathology)
747 BROADWAY
SEATTLE, WA 98122
Pathology (Anatomic Pathology & Clinical Pathology)
747 BROADWAY
SEATTLE, WA 98122
Pathology (Anatomic Pathology & Clinical Pathology)
747 BROADWAY
SEATTLE, WA 98122

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 Shivani Kalu's NPI number?

The NPI number for Shivani Kalu is 1922318757. It was assigned to this individual provider in the NPPES registry on October 14, 2010.

Where is Shivani Kalu located?

Shivani Kalu practices at 747 Broadway, Seattle, WA 98122. The listed phone number is (206) 215-2520.

What is Shivani Kalu's specialty?

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

Is Shivani Kalu enrolled in Medicare?

Yes. Shivani Kalu 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 Shivani Kalu accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Shivani Kalu 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 Shivani Kalu affiliated with any hospitals?

According to CMS data, Shivani Kalu is affiliated with Swedish Medical Center / Cherry Hill, Swedish Edmonds Hospital and Swedish Medical Center.

When was this NPI record last updated?

The NPPES record for Shivani Kalu was last updated on September 26, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.