NPIMap

Individual provider Active NPI

Kalyan Kalava, M.D.

  • Anesthesiology Physician
  • Gardner, MA
National Provider Identifier
1881870400
Registry record updated Jan 31, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
234458 Issued in MA
Practice address
242 Green St
Spine and Pain Care Center
Gardner, MA 01440-1336
Phone
(978) 630-5045
Fax
(978) 630-5046
NPI assigned
Jan 14, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 234458 MA Primary

Addresses

Primary practice location

242 Green St
Spine and Pain Care Center
Gardner, MA 01440-1336

Mailing address

242 Green St
Spine and Pain Care Center
Gardner, MA 01440-1336
Phone (978) 630-5045

Other identifiers 1

IdentifierTypeStateIssuer
0188476MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111007000141 MA Practitioner - AnesthesiologyPractitioner - Pain Management 8022180652 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
AnesthesiologyAlso: Pain Management
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Heywood Medical Group Inc.Group PAC ID 6901882836, 111 clinicians

Practice addresses (Care Compare)

242 Green St
Gardner, MA 01440-1336

250 Green St
Gardner, MA 01440-1396
Phone (978) 630-6460

Hospital & facility affiliations

  • Heywood Hospital - Hospital, Gardner, MA, CCN 220095
  • Athol Memorial Hospital Hospital, Athol, MA, CCN 221303
  • Umass Memorial Healthalliance Hospitals Hospital, Leominster, MA, CCN 220001
  • Umass Memorial Medical Center/University Campus Hospital, Worcester, MA, CCN 220163

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Heywood Medical Group Inc. Anesthesiology CurrentSince Feb 1, 2013 Accepting new patients
Steward Medical Group, Inc CurrentSince Feb 28, 2013 Accepting new patients
Athol Memorial Hospital Incorporated CurrentSince Jul 1, 2019 Accepting new patients
Heywood Affiliated Medical Group Inc. CurrentSince Feb 1, 2013 Accepting new patients
Henry Heywood Memorial Hospital CurrentSince Feb 1, 2013 Accepting new patients
Henry Heywood Memorial Hospital CurrentSince Feb 1, 2013 Accepting new patients
Steward Medical Group, Inc CurrentSince Feb 28, 2013 Accepting new patients
Horizon Treatment Center PLLC CurrentSince Oct 1, 2024 Accepting new patients
Henry Heywood Memorial Hospital Past Accepting new patients

Locations

2033 Main St
Athol, MA 01331
Phone (978) 249-1295

11 Nevins St
Ste 201
Brighton, MA 02135
Phone (617) 789-2442

242 Green St
Gardner, MA 01440
Phone (978) 258-4734

250 Green St
Gardner, MA 01440
Phone (978) 630-5050

242 Green St
Ste 205
Gardner, MA 01440

100 Amesbury St
Ste 103
Lawrence, MA 01840
Phone (978) 683-0157

55 Lake Ave N
Worcester, MA 01655
Phone 508334100048862

116 Belmont St
Ste 31
Worcester, MA 01605
Phone (508) 304-1298

Interoperability endpoints

  • Direct secure messaging: kalyan.kalava.1@192.direct.athenahealth.com

Organizations & group practices 9

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.

Hospital & facility affiliations 6

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": "1200268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359590400000",
    "number": "1881870400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "242 GREEN ST",
            "address_2": "SPINE AND PAIN CARE CENTER",
            "city": "GARDNER",
            "state": "MA",
            "postal_code": "014401336",
            "telephone_number": "978-630-5045",
            "fax_number": "978-630-5046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "242 GREEN ST",
            "address_2": "SPINE AND PAIN CARE CENTER",
            "city": "GARDNER",
            "state": "MA",
            "postal_code": "014401336",
            "telephone_number": "978-630-5045",
            "fax_number": "978-630-5046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALAVA",
        "first_name": "KALYAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-01-14",
        "last_updated": "2013-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MA",
            "license": "234458",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0188476",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gardner, MA

Sources for this page

Verify at the official NPI Registry.