DR. INGRID KISHA NIDRA CALLISTE (M.D) – Nephrology Physician, NPI 1083920383

DR. INGRID KISHA NIDRA CALLISTE (M.D) is a healthcare provider. based in Leesburg, Florida. specializing in NEUROLOGY, INTERNAL MEDICINE. They hold the professional credentials M.D. They hold a License No. ME135623 (FL). The NPI Number for DR. INGRID KISHA NIDRA CALLISTE (M.D) is 1083920383

Main info

Female
17 Years Of Experience
Accepts Medicare Assignment
Name
DR. INGRID KISHA NIDRA CALLISTE (M.D)
NPI
1083920383
Phone
(352) 728-6808
Address
511 MEDICAL PLAZA DR STE 101
Enumeration Date
24 August 2010
Last Update Date
14 May 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3523885800
Graduation Year
2009 (17 years ago)
PAC ID
5698992998
Group Practice PAC ID
3072921212
Professional Enrollment ID
I20180606001932
Address ID
FL321598983TH1400XNXXX502
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:15State licenses:1Digital endpointsOther names

1,847 NEUROLOGY in FL

Provider Addresses for DR. INGRID KISHA NIDRA CALLISTE (M.D)

  • 511 MEDICAL PLAZA DR STE 101

    LEESBURG, FL 347487328

    Phone: (352) 728-6808

    Type: Mailing

  • 511 Medical Plaza Dr Ste 101

    Leesburg, FL 347487328

    Phone: (352) 728-6808

    Fax: (352) 388-7001

    Type: Location

  • 13900 CR 455, SUITE 107, #373

    CLERMONT, FL 347119029

    Phone: (352) 385-7718

    Type: Mailing

  • 1865 NIGHTINGALE LN STE A

    TAVARES, FL 327784360

    Phone: (352) 385-5800

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 77 Open Payments records for all available years, with a total value of $1,985.

Total Amount is formed as General ($1,985) + Research ($0) + Ownership ($0) = $1,985.

Last reported payment date: 2024-11-13 • Largest payer in this snapshot: NxStage Medical, Inc. ($391).

Total Amount

$1,985

General + Research + Ownership

Payments

77

Total payment records

General Amount

$1,985

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-13

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2018-06-06

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20180606001932INeurologyFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes1,216259$0
99214Established patient office or other outpatient visit, 30-39 minutes456215$0
99458Management using the results of remote vital sign monitoring per calendar month, each additional 20 minutes37249$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes251216$0
99457Management using the results of remote vital sign monitoring per calendar month, first 20 minutes24257$0
View full utilization report →

Insurance plans in this area (ZIP 34748)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3072921212View full group profile
NameSpecialtyState
Nephrology, Internal MedicineFL

Reviews

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Frequently asked questions

Does DR. INGRID KISHA NIDRA CALLISTE (M.D) have a public NPI I can cite?
Public records show DR. INGRID KISHA NIDRA CALLISTE (M.D) under NPI 1083920383.
Should I treat DR. INGRID KISHA NIDRA CALLISTE (M.D) as an active provider?
Patients and plans typically see DR. INGRID KISHA NIDRA CALLISTE (M.D) as active in the national extract.
Which specialty label fits DR. INGRID KISHA NIDRA CALLISTE (M.D)?
NPPES ties DR. INGRID KISHA NIDRA CALLISTE (M.D) to Nephrology Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
Which community is linked to DR. INGRID KISHA NIDRA CALLISTE (M.D)?
DR. INGRID KISHA NIDRA CALLISTE (M.D) shows a connection to Leesburg, Florida in registry-derived data.
Can I export DR. INGRID KISHA NIDRA CALLISTE (M.D)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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