DR. ADITYA KALAKONDA M.D
NPI 1952742587
Internal Medicine - Gastroenterology in Florence, KY

Q: What is Aditya Kalakonda's NPI number?

The NPI number for Aditya Kalakonda is 1952742587. It was assigned to this individual provider in the NPPES registry on July 11, 2013.

Q: What is Aditya Kalakonda's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Q: When was this NPI record last updated?

The NPPES record for Aditya Kalakonda was last updated on May 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since July 11, 2013PECOS EnrolledAccepts Medicare Assignment

90.38/100

CMS Quality Rating

4900 HOUSTON RD, FLORENCE, KY 41042(859) 331-6466(859) 344-7930 Get Directions Write a Review

NPPES record last updated: May 7, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: May 7, 2026, Apr 2, 2025, Jun 14, 2019 and 1 more (4 updates tracked since 2018).

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About Dr. Aditya Kalakonda M.d NPPES

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

DR. ADITYA KALAKONDA M.D (NPI 1952742587) is an individual gastroenterology provider in Florence, Kentucky, licensed in Kentucky (52462) and active in the NPI registry since July 2013. He is enrolled in Medicare PECOS, is affiliated with Parkview Regional Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1952742587

Entity TypeIndividualMale

Primary Taxonomy207RG0100X

Provider Legal NameDR. ADITYA KALAKONDACredential: M.D

Location Address4900 HOUSTON RDFlorence, KY 41042-4824

Mailing AddressPo Box 635283Cincinnati, OH 45263-5283 · (859) 331-6466 · Fax (859) 344-7930

Phone(859) 331-6466

Fax(859) 344-7930

Sole ProprietorNo

Medical School CMSOtherGraduated 2013

Enumeration DateJuly 11, 2013

Last NPPES UpdateMay 7, 20264 updates tracked since enumeration

NPPES CertifiedMay 7, 2026

✔ NPI 1952742587 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians

Taxonomy Code207RG0100X

Licenses✔ Licensed in KY · 52462✔ Licensed in OH · 35.146977✔ Licensed in IN · 01087498A

Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

4900 HOUSTON RD, Florence, KY 41042

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Secondary Practice Locations 2

Location 1111 S Grant AveColumbus, OH 43215-4701 · Phone (614) 566-9550

Location 211104 Parkview Circle Dr Ste 310Fort Wayne, IN 46845-1733 · Phone (260) 266-5230 · Fax (260) 458-5972

Other Identifiers 1

Medicaid0357102OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter of Tennessee and more.Insurance ›

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. Aditya Kalakonda M.d 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 ID9931494283

PECOS Enrollment IDI20190725003172, I20250307003179, I20251114001434

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

Medicare enrollment records show Aditya Kalakonda reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Summit Medical Group, Inc

2.4 mi

Psychiatry

1360 DOLWICK DRIVE
Erlanger, KY 41018

Reassigned Medicare billing, Kentucky enrollment
946 clinicians in this Medicare group

NPI 1508287640 (859) 344-5555

Ohiohealth Corporation

109 mi

Anesthesiology

111 S GRANT AVE FL 3
Columbus, OH 43215

Reassigned Medicare billing, Ohio enrollment
3,314 clinicians in this Medicare group

NPI 1407292105 (614) 566-8808

Parkview Health System,inc

138 mi

Family Medicine

2003 STULTS RD STE 100
Huntington, IN 46750

Reassigned Medicare billing, Indiana enrollment
1,752 clinicians in this Medicare group

NPI 1467779124 (260) 356-5424

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 9

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.

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385

This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.

115 services115 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.

111 services80 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.

70 services54 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

70 services70 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.

35 services35 patients

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239

This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.

31 services31 patients

Hospital Affiliations CMS Care Compare 5

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

Parkview Regional Medical Center

Acute Care Hospitals · Fort Wayne, IN

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number150021

Location11109 Parkview Plaza DriveFort Wayne, IN 46845 · Allen County

Emergency services Birthing friendly

St Elizabeth Ft Thomas

Acute Care Hospitals · Fort Thomas, KY

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number180001

Location85 North Grand AvenueFort Thomas, KY 41075 · Campbell County

Emergency services

St Elizabeth Edgewood

Acute Care Hospitals · Edgewood, KY

5/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number180035

Location1 Medical Village DriveEdgewood, KY 41017 · Kenton County

Emergency services Birthing friendly

St Elizabeth Florence

Acute Care Hospitals · Florence, KY

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number180045

Location4900 Houston RoadFlorence, KY 41042 · Boone County

Emergency services

St Elizabeth Grant

Critical Access Hospitals · Williamstown, KY

OwnershipVoluntary non-profit - Church

CMS Certification Number181311

Location238 Barnes RoadWilliamstown, KY 41097 · Grant County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 41042 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

$122.77 typical visit price

range $52.76 – $162.27

Typical copayment $30.69 (range $13.19 – $40.56)

Most-billed visit code 99204

Established Patient

$93.94 typical visit price

range $16.53 – $131.99

Typical copayment $23.48 (range $4.13 – $32.99)

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.

90.38/100

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

Scored through an Alternative Payment Model

Quality

80.76

Promoting Interoperability

100

Improvement Activities

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.

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