KALYAN KUMAR RATH (M.D.) – Pediatrics Physician, NPI 1639188147

KALYAN KUMAR RATH (M.D.) is a healthcare provider. based in Jasper, Texas. specializing in PEDIATRIC MEDICINE. They hold the professional credentials M.D.. They hold a License No. K1016 (TX). The NPI Number for KALYAN KUMAR RATH (M.D.) is 1639188147

Main info

Male
Sole Proprietor
40 Years Of Experience
Accepts Medicare Assignment
Name
KALYAN KUMAR RATH (M.D.)
NPI
1639188147
Phone
(409) 384-9200
Address
1273 S. PEACHTREE ST.
Enumeration Date
5 August 2006
Last Update Date
1 June 2011

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4093849200
Graduation Year
1986 (40 years ago)
PAC ID
6406764158
Group Practice PAC ID
2961310610
Professional Enrollment ID
I20110809000073
Address ID
TX759514915JA1273XSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness75
Years active:19State licenses:1Digital endpointsOther names

2,256 PEDIATRIC MEDICINE in TX

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Provider Addresses for KALYAN KUMAR RATH (M.D.)

  • 1273, South Peachtree Street, Jasper, Jasper County, Texas, 75951, United States

    JASPER, TX 75951

    Phone: (409) 384-9200

    Fax: (409) 384-9205

    Type: Mailing

  • South Peachtree Street, Jasper, Jasper County, Texas, 75951, United States

    JASPER, TX 75951

    Phone: (409) 384-9200

    Fax: (409) 384-9205

    Type: Location

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: 2011-08-09

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
I20110809000073IPediatric MedicineTXTBD

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
99490Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month4712$0
36415Insertion of needle into vein for collection of blood sample1912$0
View full utilization report →

Insurance plans in this area (ZIP 75951)

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Provider's Procedures

KALYAN KUMAR RATH (M.D.) performs procedures in PEDIATRIC MEDICINE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PEDIATRIC MEDICINETX81002Urinalysis, manual test9371
PEDIATRIC MEDICINETX94060Measurement and graphic recording of the amount and speed of breathed air, before and following medication administration2020

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: 2961310610View full group profile
NameSpecialtyState
Nurse PractitionerTX
Nurse PractitionerTX
Nurse PractitionerTX
Nurse PractitionerTX
Internal MedicineTX
Nurse PractitionerTX
Nurse PractitionerTX

Reviews

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Frequently asked questions

What identifier follows KALYAN KUMAR RATH (M.D.) across health systems?
The NPI 1639188147 uniquely identifies KALYAN KUMAR RATH (M.D.) in U.S. healthcare data.
Does the public listing show KALYAN KUMAR RATH (M.D.) as active?
KALYAN KUMAR RATH (M.D.)'s NPI record reflects an active status in NPPES.
What services align with KALYAN KUMAR RATH (M.D.)'s listing?
KALYAN KUMAR RATH (M.D.)'s public classification highlights Pediatrics Physician. Clinical services aligned with this taxonomy classification.
Can patients visit KALYAN KUMAR RATH (M.D.) in Jasper, Texas?
For routing, start with Jasper, Texas for KALYAN KUMAR RATH (M.D.), then verify phone and hours locally.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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