Individual provider Active NPI

Sharat C Kalvakota, MD

  • Urology Physician
  • Miamisburg, OH
National Provider Identifier
1457433831
Registry record updated Jan 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
35-04-5600 Issued in OH
Practice address
4000 Miamisburg Centerville Rd Ste 450
Miamisburg, OH 45342-3908
Phone
(937) 560-2011
Fax
(937) 562-2012
NPI assigned
Oct 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 35045600 OH
Urology Physician 208800000X 35-04-5600 OH Primary

Addresses

Primary practice location

4000 Miamisburg Centerville Rd Ste 450
Miamisburg, OH 45342-3908

Mailing address

1 Prestige PL Ste 550
Miamisburg, OH 45342-6115
Phone (937) 762-1310

Other practice location 1

8934 Kingsridge Dr
Suite 102
Dayton, OH 45458-1633
Phone (937) 439-6242 ext. 6

Other identifiers 1

IdentifierTypeStateIssuer
0450284MedicaidOH

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address skalvakota204887@direct.ketteringhealth.org
FHIR URL https:/khnarr.ketthealth.com/FHIR-PROD/api/FHIR/R4/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20071213000545 OH Practitioner - Urology 0143263756 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
81.34 of 100Reported as group
Quality
63.67
Promoting interoperability
100
Improvement activities
40
Cost
74.14

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35045600OHMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Alliance Physicians Inc Current Accepting new patients
Stephen Dona, D. O. CurrentSince Jul 6, 2011 Accepting new patients
Kettering Independent Medical Group Inc CurrentSince Aug 7, 2023 Accepting new patients
Dayton Physicians, LLC Urology Past Accepting new patients

Locations

8934 Kingsridge Dr
Ste 102
Dayton, OH 45458
Phone (937) 439-6242

1 Wyoming St
Dayton, OH 45409
Phone (937) 208-2636

425 W Grand Ave
Ste 1006
Dayton, OH 45405
Phone (937) 226-7871

8701 Old Troy Pike
Ste 40B
Huber Heights, OH 45424
Phone (937) 439-6242

8701 Troy Pike
#40B
Huber Heights, OH 45424
Phone (937) 439-6242

4403 Far Hills Ave
Kettering, OH 45429
Phone (937) 395-3910

10 Southmoor Cir NW
Kettering, OH 45429

4000 Miamisburg Centerville Rd
Ste 450
Miamisburg, OH 45342
Phone (937) 439-3600

1 Prestige Pl
Ste 550
Miamisburg, OH 45342
Phone (937) 752-2306

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706140800000",
    "number": "1457433831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 PRESTIGE PL STE 550",
            "city": "MIAMISBURG",
            "state": "OH",
            "postal_code": "453426115",
            "telephone_number": "937-762-1310",
            "fax_number": "937-522-8068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 MIAMISBURG CENTERVILLE RD STE 450",
            "city": "MIAMISBURG",
            "state": "OH",
            "postal_code": "453423908",
            "telephone_number": "937-560-2011",
            "fax_number": "937-562-2012"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8934 Kingsridge Dr",
            "address_2": "Suite 102",
            "address_purpose": "LOCATION",
            "city": "Dayton",
            "state": "OH",
            "postal_code": "454581633",
            "country_code": "US",
            "telephone_number": "937-439-6242 x6",
            "fax_number": "937-439-6245",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KALVAKOTA",
        "first_name": "SHARAT",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-19",
        "last_updated": "2024-01-25",
        "certification_date": "2024-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "OH",
            "license": "35045600",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "OH",
            "license": "35-04-5600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0450284",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "skalvakota204887@direct.ketteringhealth.org",
            "affiliation": "N",
            "address_1": "4000 Miamisburg Centerville Rd Ste 450",
            "city": "Miamisburg",
            "state": "OH",
            "country_code": "US",
            "postal_code": "453423908",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https:/khnarr.ketthealth.com/FHIR-PROD/api/FHIR/R4/",
            "affiliation": "N",
            "address_1": "4000 Miamisburg Centerville Rd Ste 450",
            "city": "Miamisburg",
            "state": "OH",
            "country_code": "US",
            "postal_code": "453423908",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Miamisburg, OH

Sources for this page

Verify at the official NPI Registry.