Kalyan Kumar Rath, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

K1016 Issued in TX

Practice address

1273 S Peachtree
Jasper, TX 75951

Phone

(409) 384-9200

Fax

(409) 384-9205

NPI assigned

Aug 5, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

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

Specialty

Pediatric Medicine

Education

Other, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

East Texas Family Healthcare PLLCGroup PAC ID 2961310610, 7 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Christus Jasper Memorial Hospital Hospital, Jasper, TX, CCN 450573

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• East Texas Family Healthcare PLLC

  • Rural Health Clinic/Center
  • Kirbyville, TX
  • NPI 1629087630

  5% Or Greater Direct Ownership Interest, W-2 Managing Employee

  CMS ownership
• East Texas Family Healthcare PLLC

  • Rural Health Clinic/Center
  • Woodville, TX
  • NPI 1811121387

  5% Or Greater Direct Ownership Interest, Corporate Director

  CMS ownership
• East Texas Family Healthcare PLLC

  • Rural Health Clinic/Center
  • Newton, TX
  • NPI 1972512986

  5% Or Greater Direct Ownership Interest, 5% Or Greater Mortgage Interest, W-2 Managing Employee

  CMS ownership

Practitioners 3

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

• Mihir Das, MD

  • Internal Medicine Physician
  • Newton, TX
  • NPI 1982613923
  Medicare reassignment
• Jenna-Maree Inman, FNP-BC

  • Family Nurse Practitioner
  • Jasper, TX
  • NPI 1215393533
  Medicare reassignment
• Durba Mishra, MD

  • Internal Medicine Physician
  • Jasper, TX
  • NPI 1588673008
  Medicare reassignment

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.

• East Texas Family Healthcare, PLLC

  • Internal Medicine Physician
  • Jasper, TX
  • NPI 1770754335

  Pediatrics

  Medicare reassignment Care Compare group NPD Authorized official
• East Texas Family Healthcare PLLC

  • Rural Health Clinic/Center
  • Kirbyville, TX
  • NPI 1629087630
  NPD (past) Authorized official
• East Texas Family Healthcare PLLC

  • Rural Health Clinic/Center
  • Newton, TX
  • NPI 1972512986
  NPD (past) Authorized official
• CP Ambulance Services LLC

  • Ambulance
  • Jasper, TX
  • NPI 1649565383
  NPD (past)

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

• Christus Health Southeast Texas

  • Rural Acute Care Hospital
  • Jasper, TX
  • NPI 1598749707
  Care Compare affiliation

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784073600000",
    "number": "1639188147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1273 S PEACHTREE ST",
            "city": "JASPER",
            "state": "TX",
            "postal_code": "759514915",
            "telephone_number": "409-384-9200",
            "fax_number": "409-384-9205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1273 S PEACHTREE",
            "city": "JASPER",
            "state": "TX",
            "postal_code": "75951",
            "telephone_number": "409-384-9200",
            "fax_number": "409-384-9205"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1304 W Court St",
            "address_purpose": "LOCATION",
            "city": "Newton",
            "state": "TX",
            "postal_code": "759663009",
            "country_code": "US",
            "telephone_number": "409-384-9200",
            "fax_number": "409-384-9205",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1905 N Margaret Ave",
            "address_purpose": "LOCATION",
            "city": "Kirbyville",
            "state": "TX",
            "postal_code": "759561652",
            "country_code": "US",
            "telephone_number": "409-420-0816",
            "fax_number": "409-420-0821",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "920 N Magnolia St",
            "address_purpose": "LOCATION",
            "city": "Woodville",
            "state": "TX",
            "postal_code": "759794519",
            "country_code": "US",
            "telephone_number": "409-283-5556",
            "fax_number": "409-283-5557",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RATH",
        "first_name": "KALYAN",
        "middle_name": "KUMAR",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-05",
        "last_updated": "2026-07-15",
        "certification_date": "2026-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "K1016",
            "primary": true
        },
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "TX",
            "license": "K1016",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "121389401",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Premise Health of Texas Medical PA
• Julie Annette Prewitt, LBSW
• Prosperity One Call Transportation LLC
• R & J Health Services LLC
• Kellie Michele Ramirez, M.S., CCC-SLP
• Heather Reagan, AFNP
• Redd Medical PLLC
• Valerie D'Nell Reeve, FNP
• Louise Rice, PT
• Richard Pham MD PA

• Pediatrics Physician in Jasper, TX
• Providers in Jasper, TX by specialty
• Pediatrics Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.