Kalyan Kumar Rath, MD is a medicare enrolled "Pediatrics" physician in Jasper, Texas. He graduated from medical school in 1986 and has 40 years of diverse experience with area of expertise as Pediatric Medicine. He is a member of the group practice East Texas Family Healthcare Pllc and his current practice location is
1273 S Peachtree, Jasper, Texas. You can reach out to his office (for appointments etc.) via phone at
(409) 384-9200.
Kalyan Kumar Rath is licensed to practice in Texas (license number K1016) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1639188147.
Physician's Profile
| Full Name | Kalyan Kumar Rath |
|---|
| Gender | Male |
|---|
| Speciality | Pediatric Medicine |
|---|
| Experience | 40 Years |
|---|
| Location | 1273 S Peachtree, Jasper, Texas |
|---|
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
|---|
Medical Education and Training:
- Kalyan Kumar Rath graduated from medical school in 1986
NPI Data:
- NPI Number: 1639188147
- Provider Enumeration Date: 08/05/2006
- Last Update Date: 07/15/2026
Medicare PECOS Information:
- PECOS PAC ID: 6406764158
- Enrollment ID: I20110809000073
Medical Identifiers
Medical identifiers for Kalyan Kumar Rath such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1639188147 | NPI | - | NPPES |
| 121389401 | Medicaid | TX | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208000000X | Pediatrics | K1016 (Texas) | Primary |
| 261QR1300X | Clinic/center - Rural Health | K1016 (Texas) | Secondary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| East Texas Family Healthcare Pllc | 2961310610 | 7 |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kalyan Kumar Rath allows following entities to bill medicare on his behalf.
| Entity Name | East Texas Family Healthcare PLLC |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1770754335
PECOS PAC ID: 2961310610
Enrollment ID: O20051207000350 |
|---|
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kalyan Kumar Rath is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Kalyan Kumar Rath, MD
1273 S Peachtree St,
Jasper, TX 75951-4915
Ph: (409) 384-9200 | Kalyan Kumar Rath, MD
1273 S Peachtree,
Jasper, TX 75951
Ph: (409) 384-9200 |
Reviews and Comments