DEEPANVITA KALVALA (MD) – Family Medicine Physician, NPI 1124589239

DEEPANVITA KALVALA (MD) is a healthcare provider. based in Toledo, Ohio. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. 4301509743 (MI). The NPI Number for DEEPANVITA KALVALA (MD) is 1124589239

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
DEEPANVITA KALVALA (MD)
NPI
1124589239
Phone
(419) 383-5502
Address
3333 GLENDALE AVE
Enumeration Date
29 March 2019
Last Update Date
21 August 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7342408987
Graduation Year
2017 (9 years ago)
PAC ID
2062740657
Group Practice PAC ID
2365696176
Professional Enrollment ID
I20230825000619
Address ID
MI481627815MO718XXSTXX402
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:7State licenses:1Digital endpointsOther names

4,431 FAMILY PRACTICE in OH

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Provider Addresses for DEEPANVITA KALVALA (MD)

  • 3333, Glendale Avenue, Heather Downs, Toledo, Lucas County, Ohio, 43614, United States

    TOLEDO, OH 436142426

    Phone: (419) 383-5502

    Fax: (419) 383-5515

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2023-08-25

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
I20230825000619IFamily PracticeMITBD

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
99213Established patient office or other outpatient visit, 20-29 minutes3433$0
99214Established patient office or other outpatient visit, 30-39 minutes3328$0
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes1919$0
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes1212$0
99304Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes1111$0
View full utilization report →

Insurance plans in this area (ZIP 43614)

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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: 2365696176View full group profile
NameSpecialtyState
General SurgeryMI
Family PracticeMI
Clinical PsychologistMI
Nurse PractitionerMI
Physician AssistantMI
Family PracticeOR
Physician AssistantOH
Clinical Social WorkerMI
Clinical Social WorkerMI
-MI

Reviews

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Frequently asked questions

Where can patients find DEEPANVITA KALVALA (MD)'s NPI?
You can confirm DEEPANVITA KALVALA (MD) with NPI 1124589239; it appears in the national provider directory.
Is DEEPANVITA KALVALA (MD)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What field does DEEPANVITA KALVALA (MD) work in?
You can think of DEEPANVITA KALVALA (MD) as practicing within Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Where is DEEPANVITA KALVALA (MD)'s primary listing?
We display Toledo, Ohio because that is what the record indicates for DEEPANVITA KALVALA (MD).
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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