Shrish Calla, MD
Individual provider Active NPI Family Medicine Physician · Deltona, FL
NPI 1497976526 · NPPES record last updated Jan 4, 2016
Key facts
- NPI
- 1497976526
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- ME96049 (FL)
- Practice address
- 1565 Saxon Blvd
Suite 102
Deltona, FL 32725-5876 - Phone
- (386) 917-7395
- Fax
- (386) 532-7152
- NPI assigned
- May 2, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 14
Owned or controlled facilities with NPI records 2
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Other, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Ability Health Services, Inc
Ability Health Services and Rehabilitation LP
Adventhealth Primary Care Network Inc
Practice addresses (Care Compare)
1200 Lexington Green LN
Sanford, FL 32771-1013
661 E Altamonte Dr
Suite 115
Altamonte Springs, FL 32701-5102
Phone (407) 831-4040
Hospital & facility affiliations
- Adventhealth Home Health
- Centerwell Home Health
- Trilogy Home Healthcare
- Vitas Healthcare Corporation of Florida
- Adventhealth Fish Memorial
- Adventhealth Deland
- Adventhealth Orlando
- Debary Health and Rehabilitation Center
- Majestic Oaks
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
| Removal of skin lesions | 1-10 |
| Removal or shaving of skin growth | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
All facility ownership & control disclosures 1
| Facility | Type | Role | Since |
|---|---|---|---|
| Adventhealth Fish Memorial |
Hospital | Corporate Director | Feb 22, 2018 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080611000184 | FL | Practitioner - Family Practice | 6204907710 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Adventhealth Primary Care Network Inc | Family Medicine | Current |
Accepting new patients |
Locations
661 E Altamonte Dr
Ste 115
Altamonte Springs, FL 32701
Phone (407) 831-4040
1565 Saxon Blvd
Ste 102
Deltona, FL 32725
Phone (386) 789-5400
Interoperability endpoints
- scalla59069@adventhealth.direct-ci.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | ME96049 | FL | Yes |
Addresses
Primary practice location
1565 Saxon Blvd
Suite 102
Deltona, FL 32725-5876
Mailing address
1565 Saxon Blvd
Suite 102
Deltona, FL 32725-5876
Phone (386) 917-7395
Other names
- Dr. Shrish K Kalla
Other providers in Deltona, FL
- Stacey Leigh Cabral
- Yusnavis Cabrales
- Mariella J Cabrera Quijada
- Andrea M Caine
- Caliente Lingerie LLC
- Nally Calzado-Ricketts
- Jorge Luis Cambo
- Amy Louise Campanella
- Deborah Ann Campbell
- Wynter Lee Campbell
All providers in Deltona, FL · Family Medicine Physician in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 4, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.