Individual provider Active NPI

Amanjeet K Kaleka, MD

  • Family Medicine Physician
  • Madison, WI
National Provider Identifier
1801020425
Registry record updated Dec 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
68035-20 Issued in WI
Practice address
4901 Cottage Grove Rd
Madison, WI 53716-1392
Phone
(608) 221-1501
NPI assigned
May 11, 2009
Last updated
Dec 30, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2024

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 MD453333 PA
Family Medicine Physician 207Q00000X 68035-20 WI Primary

Addresses

Primary practice location

4901 Cottage Grove Rd
Madison, WI 53716-1392

Mailing address

4901 Cottage Grove Rd
Madison, WI 53716-1392
Phone (608) 221-1501

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address akaleka276938@direct-ehr-ssmhc.com Direct
FHIR URL https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/ Other

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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
I20171031000040 WI Practitioner - Family Practice 1456506542 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wildwood Family Clinic SCGroup PAC ID 9537137484, 27 clinicians

Practice addresses (Care Compare)

4901 Cottage Grove Rd
Madison, WI 53716-1392
Phone (608) 221-1501

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.21 of 100Reported as group
Quality
71.09
Promoting interoperability
99
Improvement activities
40
Cost
70.44

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
68035-20WIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wildwood Family Clinic, SC Family Medicine Current Accepting new patients
University of Penn-Medical Group Current Accepting new patients
Group Health Cooperative of South Central Wisconsin CurrentSince Sep 25, 2017 Accepting new patients
Wildwood Family Clinic SC Family Medicine CurrentSince Nov 17, 2024 Accepting new patients
Spectrum Health Services Inc Past Accepting new patients

Locations

3400 Spruce St
Fl 5
Philadelphia, PA 19104
Phone (215) 662-2777

3737 Market St
#9
Philadelphia, PA 19104
Phone (215) 294-9525

4901 Cottage Grove Rd
Madison, WI 53716
Phone (608) 221-1501

5249 E Terrace Dr
Madison, WI 53718
Phone (608) 222-9777

8202 Excelsior Dr
Madison, WI 53717
Phone (608) 831-1766

Interoperability endpoints

  • Direct secure messaging: akaleka276938@direct-ehr-ssmhc.com
  • Direct secure messaging: amanjeet.kaleka.p1@direct.ppwi.nextgenshare.com

Organizations & group practices 5

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

Hospital & facility affiliations 1

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": "1242000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735516800000",
    "number": "1801020425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4901 COTTAGE GROVE RD",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537161392",
            "telephone_number": "608-221-1501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4901 COTTAGE GROVE RD",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537161392",
            "telephone_number": "608-221-1501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALEKA",
        "first_name": "AMANJEET",
        "middle_name": "K",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-11",
        "last_updated": "2024-12-30",
        "certification_date": "2024-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD453333",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WI",
            "license": "68035-20",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "akaleka276938@direct-ehr-ssmhc.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "akaleka276938@direct-ehr-ssmhc.com",
            "address_1": "4901 Cottage Grove Rd",
            "city": "Madison",
            "state": "WI",
            "country_code": "US",
            "postal_code": "537161392",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "FHIR API",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "4901 Cottage Grove Rd",
            "city": "Madison",
            "state": "WI",
            "country_code": "US",
            "postal_code": "537161392",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Madison, WI

Sources for this page

Verify at the official NPI Registry.