Individual provider Active NPI

Deepali Ramdas Kale, MD

  • Internal Medicine Physician
  • Greenville, MS
National Provider Identifier
1053304881
Registry record updated Oct 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
18855 Issued in MS
Practice address
344 Arnold Ave
Greenville, MS 38701-4711
Phone
(662) 378-1311
Fax
(662) 335-2001
NPI assigned
Aug 26, 2005
Last updated
Oct 24, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 24, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 18855 MS Primary

Addresses

Primary practice location

344 Arnold Ave
Greenville, MS 38701-4711

Mailing address

PO Box 4739
Greenville, MS 38704-4739
Phone (662) 725-2749

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050923000555 MS Practitioner - Internal Medicine 1759315245 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Delta Medical GroupGroup PAC ID 6608775531, 48 clinicians

Practice addresses (Care Compare)

1693 Fairgrounds Rd
Greenville, MS 38703-7810
Phone (662) 378-3783

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
98
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
18855MSMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Delta Medical Group CurrentSince Oct 28, 2014 Accepting new patients
Delta Health System Past Accepting new patients
Delta Health System Past Accepting new patients
Delta Physician Practices Past Accepting new patients

Locations

1400 E Union St
Greenville, MS 38703
Phone (601) 427-0422

1693 Fairgrounds Rd
Greenville, MS 38703
Phone (662) 378-3783

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1125014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319414400000",
    "number": "1053304881",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4739",
            "city": "GREENVILLE",
            "state": "MS",
            "postal_code": "387044739",
            "telephone_number": "662-725-2749",
            "fax_number": "662-725-2741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "344 ARNOLD AVE",
            "city": "GREENVILLE",
            "state": "MS",
            "postal_code": "387014711",
            "telephone_number": "662-378-1311",
            "fax_number": "662-335-2001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALE",
        "first_name": "DEEPALI",
        "middle_name": "RAMDAS",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-08-26",
        "last_updated": "2011-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MS",
            "license": "18855",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, MS

Sources for this page

Verify at the official NPI Registry.