Individual provider Active NPI

George Joseph Kavalam, MBBS

  • Nephrology Physician
  • Santa Rosa, CA
National Provider Identifier
1962030726
Registry record updated Jun 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
A201849 Issued in CA
Practice address
2301 Circadian Way Ste a
Santa Rosa, CA 95407-5457
Phone
(707) 526-2027
NPI assigned
Mar 28, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 285889 MA
Student in an Organized Health Care Education/Training Program 390200000X
Nephrology Physician 207RN0300X A201849 CA Primary

Addresses

Primary practice location

2301 Circadian Way Ste a
Santa Rosa, CA 95407-5457

Mailing address

2301 Circadian Way Ste a
Santa Rosa, CA 95407-5457
Phone (707) 526-2027

Other practice location 1

171 Pilgrim Rd # Libby2
Boston, MA 02215-5332
Phone (617) 632-9880

Other practice location 2

81 Highland Ave
Salem, MA 01970-2714
Phone (978) 741-1200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, CA2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20241114002328 MA Practitioner - Internal Medicine 3375953284 Reassigns benefits to 1 organization
I20251008002389 CA Practitioner - Nephrology 3375953284 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nephrology AssociatesGroup PAC ID 0547227621, 7 clinicians

Practice addresses (Care Compare)

2301 Circadian Wy
Suite a
Santa Rosa, CA 95407
Phone (707) 526-2027

81 Highland Ave
Salem, MA 01970-2714
Phone (978) 354-2551

Hospital & facility affiliations

  • SHC Santa Rosa Dialysis facility, Santa Rosa, CA, CCN 052630
  • DaVita Lakeport Dialysis Center Dialysis facility, Lakeport, CA, CCN 052601
  • Providence Santa Rosa Memorial Hospital Hospital, Santa Rosa, CA, CCN 050174
  • Sutter Santa Rosa Regional Hospital Hospital, Santa Rosa, CA, CCN 050291
  • Adventist Health Ukiah Valley Hospital, Ukiah, CA, CCN 050301
  • Sutter Lakeside Hospital Hospital, Lakeport, CA, CCN 051329
  • Adventist Health Howard Memorial Hospital, Willits, CA, CCN 051310

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Nephrology Associates Nephrology CurrentSince Nov 1, 2025 Accepting new patients
Mass General Brigham Medical Group Northern Massachusetts Inc Internal Medicine CurrentSince Oct 18, 2024 Accepting new patients

Locations

2301 Circadian Way
Ste A
Santa Rosa, CA 95407
Phone (707) 526-2027

1 Hutchinson Dr
Danvers, MA 01923
Phone (978) 739-6950

81 Highland Ave
Salem, MA 01970
Phone (978) 354-4009

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: gkavalam252536@direct.bilh.masshiway.net
  • Direct secure messaging: gkavalam764063@hisp.ehr.sutterhealth.org
  • FHIR API: https://fhir4.healow.com/fhir/r4/BGAJAA

Organizations & group practices 2

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": "1585353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782086400000",
    "number": "1962030726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 CIRCADIAN WAY STE A",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954075457",
            "telephone_number": "707-526-2027",
            "fax_number": "707-526-2096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 CIRCADIAN WAY STE A",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954075457",
            "telephone_number": "707-526-2027"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "171 Pilgrim Rd # Libby2",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "022155332",
            "country_code": "US",
            "telephone_number": "617-632-9880",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "81 Highland Ave",
            "address_purpose": "LOCATION",
            "city": "Salem",
            "state": "MA",
            "postal_code": "019702714",
            "country_code": "US",
            "telephone_number": "978-741-1200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KAVALAM",
        "first_name": "GEORGE",
        "middle_name": "JOSEPH",
        "credential": "MBBS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-03-28",
        "last_updated": "2026-06-22",
        "certification_date": "2026-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "285889",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "CA",
            "license": "A201849",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Rosa, CA

Sources for this page

Verify at the official NPI Registry.