Kalpa Rathod, M.D.
NPI 1518111905 · Hospitalist Physician · Sun City West, AZ
Enrolled with Medicare as Practitioner - Internal Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kalpa Rathod, M.D. is a Hospitalist Physician provider in Sun City West, AZ (NPI 1518111905).
Provider details
- NPI number
- 1518111905
- Entity type
- Individual
- Primary specialty
- Hospitalist PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- License
- 44692 (AZ)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
17 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
800 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 50 Minutes99233 | 407 | $113 |
| Hospital Discharge Day Management, More Than 30 Minutes99239 | 128 | $110 |
| Initial Hospital Care With Moderate Level of Medical Decision Making, If Using Time, at Least 75 Minutes99223 | 119 | $167 |
| Advance Care Planning, First 30 Minutes99497 | 90 | $73 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes99232 | 44 | $76 |
| Critical Care, First 30-74 Minutes99291 | 12 | $205 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 4 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Amoxicillin/Potassium Clavbrand: Amoxicillin-Clavulanate Potass | 17 | 17 |
| Prednisone | 17 | 16 |
| Albuterol Sulfatebrand: Albuterol Sulfate Hfa | 12 | 12 |
| Atorvastatin Calcium | 11 | 11 |
Medicare Part D only. These counts cover prescriptions paid through Medicare Part D in 2024 — they do notinclude cash-pay, commercial-insurance, Medicaid, or Part B–administered drugs, and badly undercount high cash-pay categories (e.g. GLP-1 weight-loss, testosterone, and ED medications). Any drug with 10 or fewer claims is omitted by CMS, and beneficiary counts under 11 are suppressed — so a missing drug means no Part D record, never zero. This is a factual claims summary, not an endorsement, not medical advice, and not a consumer report. Source: CMS Medicare Part D Prescribers — by Provider and Drug.
Practice location
Mailing address
Registry dates
- Enumerated
- 2008-11-11
- Last updated
- 2015-09-04
Frequently asked questions
- What is Kalpa Rathod's NPI number?
- Kalpa Rathod's National Provider Identifier (NPI) is 1518111905, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kalpa Rathod's specialty?
- Kalpa Rathod is listed in the NPPES registry with a primary specialty of Hospitalist Physician (Allopathic & Osteopathic Physicians).
- Where is Kalpa Rathod located?
- Kalpa Rathod's practice location on file with NPPES is 14502 W Meeker Blvd, Sun City West, AZ 85375-5282.
- What is Kalpa Rathod's phone number?
- The practice phone number listed in the NPPES registry for Kalpa Rathod is (623) 524-8814.
- Does Kalpa Rathod accept Medicare?
- Kalpa Rathod is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Kalpa Rathod's NPI active?
- Yes — Kalpa Rathod's NPI (1518111905) is active in the NPPES registry as of the last update on 2015-09-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.