Individual provider Active NPI

Shivam Prakash Kalan, M.D.

  • Hospitalist Physician
  • Bermuda Run, NC
National Provider Identifier
1861781932
Registry record updated Aug 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
2022-02548 Issued in NC
Practice address
329 NC Highway 801 N
Bermuda Run, NC 27006-7905
Phone
(336) 716-9253
Fax
(336) 716-0030
NPI assigned
Mar 29, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME117592 FL
Hospitalist Physician 208M00000X 2022-02548 NC Primary

Addresses

Primary practice location

329 NC Highway 801 N
Bermuda Run, NC 27006-7905

Mailing address

Medical Center Blvd
Winston Salem, NC 27157-0001

Other practice location 1

1 Tampa General Cir
Suite F-170
Tampa, FL 33606-3571
Phone (813) 844-3397

Other identifiers 2

IdentifierTypeStateIssuer
14V1FOtherFLBLUE CROSS BLUE SHIELD
012202800MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, SC, AL, NC, IL5 enrollments
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 5

Enrollment IDStateProvider typePAC IDDetails
I20140716002564 FL Practitioner - Internal Medicine 8325264948 Reassigns benefits to 1 organization
I20190530002576 SC Practitioner - Internal Medicine 8325264948 Reassigns benefits to 3 organizations
I20220802001102 AL Practitioner - Internal Medicine 8325264948 Reassigns benefits to 3 organizations
I20221210000306 NC Practitioner - HospitalistPractitioner - Internal Medicine 8325264948 Reassigns benefits to 3 organizations
I20230702000017 IL Practitioner - Internal Medicine 8325264948 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
24 On Physicians of SC LLCGroup PAC ID 5890127344, 136 clinicians
Carolinas Physicians Network IncGroup PAC ID 3375449655, 2,324 clinicians
Wake Forest University Health SciencesGroup PAC ID 4486564952, 2,633 clinicians
Capstone Health Services Foundation PCGroup PAC ID 6103724489, 159 clinicians

Practice addresses (Care Compare)

100 Callen Blvd
Summerville, SC 29486-2807
Phone (854) 529-3100

2095 Henry Tecklenburg Dr
Charleston, SC 29414-5733
Phone (843) 402-1006

301 Yadkin St
Albemarle, NC 28001-3441
Phone (980) 312-4690

316 Calhoun St
Charleston, SC 29401-1113
Phone (843) 724-2901

329 Hwy 801 N
Bermuda Run, NC 27006
Phone (336) 716-2255

850 5TH Ave E
Tuscaloosa, AL 35401-7419
Phone (205) 348-1770

Hospital & facility affiliations

  • North Carolina Baptist Hospital Hospital, Winston-Salem, NC, CCN 340047
  • DCH Regional Medical Center Hospital, Tuscaloosa, AL, CCN 010092
  • Stanly Regional Medical Center Hospital, Albemarle, NC, CCN 340119
  • Atrium Health Cleveland Hospital, Shelby, NC, CCN 340021
  • Roper Hospital Hospital, Charleston, SC, CCN 420087

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Whatley Health Services, Inc. CurrentSince Jul 30, 2022 Accepting new patients
24 On Physicians, PC Hospitalist CurrentSince Apr 1, 2019 Accepting new patients
Carolinas Physicians Network Inc Current Accepting new patients
Carolinas Physicians Network Inc Hospitalist CurrentSince Aug 29, 2025 Accepting new patients
24 On Physicians, PC Hospitalist CurrentSince May 27, 2023 Accepting new patients
The DCH Healthcare Authority CurrentSince Aug 5, 2022 Accepting new patients
Cogent Healthcare of Georgia PC Internal Medicine CurrentSince Mar 23, 2019 Accepting new patients
The Charlotte-Mecklenburg Hospital Authority CurrentSince Aug 29, 2025 Accepting new patients
The Charlotte-Mecklenburg Hospital Authority Internal Medicine Current Accepting new patients
The Charlotte-Mecklenburg Hospital Authority Internal Medicine CurrentSince Aug 29, 2025 Accepting new patients
The DCH Health Care Authority CurrentSince Aug 5, 2022 Accepting new patients
Wake Forest University Health Sciences CurrentSince Oct 15, 2022 Accepting new patients
Carolinas Physicians Network Inc CurrentSince Aug 29, 2025 Accepting new patients
24 On Physicians, P.C. Hospitalist CurrentSince Apr 1, 2019 Accepting new patients
Sound Physicians of South Carolina, LLC Internal Medicine CurrentSince Mar 23, 2019 Accepting new patients
Skalan LLC Internal Medicine Current Accepting new patients
Capstone Health Services Foundation PC CurrentSince Jul 22, 2022 Accepting new patients
Whatley Health Services Inc CurrentSince Jul 30, 2022 Accepting new patients
24 On Physicians of SC, LLC Hospitalist CurrentSince Oct 1, 2019 Accepting new patients
Capstone Health Services Foundation PC CurrentSince Jul 22, 2022 Accepting new patients
University Medical Service Association Inc Past Accepting new patients

Locations

809 University Blvd E
Tuscaloosa, AL 35401
Phone (205) 333-4661

2731 Ml King Jr Blvd
Tuscaloosa, AL 35401
Phone (205) 349-3250

850 Peter Bryce Blvd
Tuscaloosa, AL 35401

300 Pinellas St
Clearwater, FL 33756
Phone (727) 461-8552

13000 Deerfield Pkwy
Ste 100
Alpharetta, GA 30004

405 W Jackson St
Carbondale, IL 62901

201 S 14th St
Herrin, IL 62948
Phone (618) 942-2171

1100 E Norris Dr
Ottawa, IL 61350
Phone (815) 416-1224

301 Yadkin St
Albemarle, NC 28001
Phone (704) 984-4000

329 NC Highway 801 N
Bermuda Run, NC 27006
Phone (336) 716-8200

1000 Blythe Blvd
Charlotte, NC 28203
Phone (704) 351-3791

920 Church St N
Concord, NC 28025
Phone (704) 403-3000

Medical Ctr Blvd
Winston Salem, NC 27157
Phone (336) 713-2697

302 University Pkwy
Aiken, SC 29801
Phone (803) 279-3940

316 Calhoun St
Charleston, SC 29401
Phone (843) 724-2000

3000 Saint Matthews Rd
Orangeburg, SC 29118
Phone (803) 395-2200

5410 Maryland Way
Ste 300
Brentwood, TN 37027
Phone (615) 377-1674

Interoperability endpoints

  • Direct secure messaging: skalan2792121@carolinashealthcaresystem.direct-ci.com
  • Direct secure messaging: shivam.kalan.p1@direct.umc.nextgenshare.com

Organizations & group practices 21

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.

View all 21

Hospital & facility affiliations 12

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": "1301356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755475200000",
    "number": "1861781932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "MEDICAL CENTER BLVD",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271570001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "329 NC HIGHWAY 801 N",
            "city": "BERMUDA RUN",
            "state": "NC",
            "postal_code": "270067905",
            "telephone_number": "336-716-9253",
            "fax_number": "336-716-0030"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Tampa General Cir",
            "address_2": "Suite F-170",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336063571",
            "country_code": "US",
            "telephone_number": "813-844-3397",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KALAN",
        "first_name": "SHIVAM",
        "middle_name": "PRAKASH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-03-29",
        "last_updated": "2025-08-18",
        "certification_date": "2025-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME117592",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "NC",
            "license": "2022-02548",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "14V1F",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "012202800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bermuda Run, NC

Sources for this page

Verify at the official NPI Registry.