Organization Active NPI

Kalpana Gorthi, MD, PLLC

  • Internal Medicine Physician
  • Melbourne, FL
National Provider Identifier
1134616220
Registry record updated Aug 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
KALPANA GORTHI, MD, PLLC
Practice address
640 Classic CT Ste 102
Melbourne, FL 32940-8279
Phone
(321) 425-3187
Fax
(321) 425-3188
NPI assigned
Apr 16, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2026

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

Authorized official

Name
Kalpana Gorthi, MDNPI 1811195894
Title
Owner/ Physician
Phone
(931) 575-7833

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

640 Classic CT Ste 102
Melbourne, FL 32940-8279

Mailing address

3155 Suntree Blvd Ste 102
Rockledge, FL 32955-5720
Phone (321) 425-3187

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180613001784 FL Part B Supplier - Clinic/Group Practice 7517212616 Receives reassigned benefits from 1 practitioner
Practice locations: Rockledge, FL

National Provider Directory

National Provider Directory

Locations

6450 N Wickham Rd
Ste 106
Melbourne, FL 32940
Phone (321) 425-3187

6450 N Wickham Rd
Melbourne, FL 32940
Phone (321) 255-5757

3155 Suntree Blvd
Unit 102
Rockledge, FL 32955
Phone (321) 425-3187

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1523836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787184000000",
    "number": "1134616220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3155 SUNTREE BLVD STE 102",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329555720",
            "telephone_number": "321-425-3187",
            "fax_number": "321-425-3188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 CLASSIC CT STE 102",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329408279",
            "telephone_number": "321-425-3187",
            "fax_number": "321-425-3188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KALPANA GORTHI, MD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-16",
        "last_updated": "2026-08-20",
        "certification_date": "2026-08-20",
        "status": "A",
        "authorized_official_last_name": "GORTHI",
        "authorized_official_first_name": "KALPANA",
        "authorized_official_title_or_position": "OWNER/ PHYSICIAN",
        "authorized_official_telephone_number": "931-575-7833",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Melbourne, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.