Individual provider Active NPI

Palitha Vishwajith Kalpage, M.D.

  • Family Medicine Physician
  • Tucson, AZ
National Provider Identifier
1386931483
Registry record updated Mar 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
R72791 Issued in AZ
Practice address
839 W Congress Strees
Tucson, AZ 85745-6204
Phone
(520) 670-3909
Fax
(520) 309-2560
NPI assigned
Jul 9, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 25, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 4887 AZ
Family Medicine Physician 207Q00000X R72791 AZ Primary

Addresses

Primary practice location

839 W Congress Strees
Tucson, AZ 85745-6204

Mailing address

3189 W Tumamoc Dr
Tucson, AZ 85745-5266
Phone (520) 235-0597

Other practice location 1

1601 W Saint Marys Rd
Tucson, AZ 85745-2623
Phone (520) 622-5833

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20140902001556 AZ Practitioner - Family Practice 9133347271 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
El Rio Santa Cruz Neighborhood Health Center, Inc.Group PAC ID 6305739244, 283 clinicians
Tucson Physician Group Holdings LLCGroup PAC ID 0547560070, 200 clinicians

Practice addresses (Care Compare)

101 W Irvington Rd
Tucson, AZ 85714-3050
Phone (520) 670-3909

1601 W Saint Marys Rd
Tucson, AZ 85745-2623
Phone (520) 872-3000

839 W Congress St
Tucson, AZ 85745-2819
Phone (520) 670-3909

Hospital & facility affiliations

  • St. Mary'S Hospital Hospital, Tucson, AZ, CCN 030010
  • Canyon Vista Medical Center Hospital, Sierra Vista, AZ, CCN 030043
  • Tucson Medical Center Hospital, Tucson, AZ, CCN 030006
  • Northwest Medical Center Sahuarita Hospital, Sahuarita, AZ, CCN 030148

Merit-based Incentive Payment System (MIPS)

Final score
84.74 of 100Reported as group
Quality
79.16
Promoting interoperability
100
Improvement activities
40
Cost
69.96

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R72791AZMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
El Rio Santa Cruz Neighborhood Health Center, Inc CurrentSince Aug 1, 2014 Accepting new patients
El Rio Santa Cruz Neighborhood Health Center, Inc CurrentSince Aug 1, 2014 Accepting new patients
American Physicians, Inc Family Medicine CurrentSince Jan 1, 2022 Accepting new patients
American Physicians, Inc. CurrentSince Jan 1, 2022 Accepting new patients
Cogent Healthcare of Arizona PC CurrentSince Nov 26, 2018 Accepting new patients
Tucson Physician Group Holdings, LLC CurrentSince Oct 1, 2024 Accepting new patients
El Rio Santa Cruz Neighborhood Health Center, Inc Past Accepting new patients
SMSJ Tucson Holdings LLC Past Accepting new patients
El Rio Santa Cruz Neighborhood Health Center, Inc Past Accepting new patients

Locations

350 W Thomas Rd
Phoenix, AZ 85013
Phone (480) 339-5001

16640 N 38th St
Phoenix, AZ 85032
Phone (602) 482-6671

9003 E Shea Blvd
Scottsdale, AZ 85260
Phone (480) 323-3383

5700 E Highway 90
Sierra Vista, AZ 85635
Phone (520) 263-2000

3950 S Country Club Rd
Ste 130
Tucson, AZ 85714
Phone (520) 874-2778

1500 W Commerce Ct
Tucson, AZ 85746
Phone (520) 309-3601

1601 W Saint Marys Rd
Tucson, AZ 85745
Phone (520) 622-5833

101 W Irvington Rd
Bldg 3C
Tucson, AZ 85714
Phone (520) 573-0096

320 W Prince Rd
Tucson, AZ 85705
Phone (520) 838-7663

5620 W Cortaro Farms Rd
Tucson, AZ 85742
Phone (520) 872-4000

6950 E Golf Links Rd
Tucson, AZ 85730
Phone (520) 309-3250

630 N Alvernon Way
Tucson, AZ 85711
Phone (520) 202-1800

1230 S Cherrybell Stra
Tucson, AZ 85713
Phone (520) 310-7316

101 W Irvington Rd
Tucson, AZ 85714
Phone (520) 573-0096

7490 S Camino de Oeste
Tucson, AZ 85746
Phone (520) 879-6039

350 N Wilmot Rd
Tucson, AZ 85711
Phone (520) 873-3000

839 W Congress St
Tucson, AZ 85745
Phone (520) 670-3707

1101 E Broadway Blvd
Tucson, AZ 85719
Phone (520) 624-7750

2800 E Ajo Way
Tucson, AZ 85713
Phone (520) 294-4471

4550 S Palo Verde Rd
Bldg 1
Tucson, AZ 85714

395 N Silverbell Rd
Ste 355
Tucson, AZ 85745
Phone (520) 622-5912

1500 W Commerce Ct
Bldg 1
Tucson, AZ 85746
Phone (520) 309-3006

434 E University Blvd
Ste 100
Tucson, AZ 85705
Phone (520) 309-4250

3655 E Grant Rd
Tucson, AZ 85716
Phone (520) 440-6323

225 W Irvington Rd
Tucson, AZ 85714
Phone (520) 670-3857

Interoperability endpoints

  • Direct secure messaging: pkalpage18215@elrio.direct.ci.com
  • FHIR API: https://fhir-myrecord.cerner.com/r4/MmWbh382tKlbvAIA1_DeLlIjYVSwroch/

Organizations & group practices 9

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

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": "1310169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742860800000",
    "number": "1386931483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3189 W TUMAMOC DR",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857455266",
            "telephone_number": "520-235-0597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "839 W CONGRESS STREES",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857456204",
            "telephone_number": "520-670-3909",
            "fax_number": "520-309-2560"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1601 W Saint Marys Rd",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857452623",
            "country_code": "US",
            "telephone_number": "520-622-5833",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KALPAGE",
        "first_name": "PALITHA",
        "middle_name": "VISHWAJITH",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-07-09",
        "last_updated": "2025-03-25",
        "certification_date": "2025-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "4887",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "R72791",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.