Hemant Kalia, MD MPH
NPI 1689879959 · Interventional Pain Medicine Physician · Rochester, NY
Enrolled with Medicare as Practitioner - Physical Medicine and Rehabilitation · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Hemant Kalia, MD MPH is a Interventional Pain Medicine Physician provider in Rochester, NY (NPI 1689879959).
Provider details
- NPI number
- 1689879959
- Entity type
- Individual
- Primary specialty
- Interventional Pain Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD MPH
- Sex
- Male
- Sole proprietor
- No
- License
- 27355901 (NY)
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 tenure25% of score
19 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
351 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
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 .
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) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 81 | $118 |
| Testing for Presence of Drug, By Chemistry Analyzers80307 | 78 | $60 |
| Drug Test(s), Definitive, Utilizing (1) Drug Identification Methods Able to Identify Individual Drugs and Distinguish Between Structural Isomers (but Not Necessarily Stereoisomers), Including, But Not Limited to Gc/Ms (any Type, Single Or Tandem) and Lc/MsG0481 | 64 | $149 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 42 | $87 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 32 | $97 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 20 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Celecoxib | 152 | 53 |
| Gabapentin | 109 | 32 |
| Pregabalin | 87 | 25 |
| Tizanidine Hcl | 80 | 19 |
| Oxycodone Hcl/Acetaminophenbrand: Oxycodone-Acetaminophen | 68 | 47 |
| Duloxetine Hcl | 60 | 17 |
| Baclofen | 52 | 19 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$26,075 across 71 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Additional practice locations (1)
- 400 International DrWilliamsville, NY 14221-5771Phone: (716) 631-3555
Registry dates
- Enumerated
- 2007-06-18
- Last updated
- 2025-12-17
- Certified
- 2025-12-17
Frequently asked questions
- What is Hemant Kalia's NPI number?
- Hemant Kalia's National Provider Identifier (NPI) is 1689879959, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Hemant Kalia's specialty?
- Hemant Kalia is listed in the NPPES registry with a primary specialty of Interventional Pain Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Hemant Kalia located?
- Hemant Kalia's practice location on file with NPPES is 500 Helendale Rd Ste Ll20, Rochester, NY 14609-3125.
- What is Hemant Kalia's phone number?
- The practice phone number listed in the NPPES registry for Hemant Kalia is (585) 600-7246.
- Does Hemant Kalia accept Medicare?
- Hemant Kalia is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Hemant Kalia's NPI active?
- Yes — Hemant Kalia's NPI (1689879959) is active in the NPPES registry as of the last update on 2025-12-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.