Ajay Shubhadeep Kallam, MD - Medicare Nephrology in Dallas, TX

Ajay Shubhadeep Kallam, MD is a medicare enrolled "Internal Medicine - Nephrology" physician in Dallas, Texas. He graduated from medical school in 2006 and has 18 years of diverse experience with area of expertise as Nephrology. He is a member of the group practice Dallas Renal Group, P.a. and his current practice location is 3571 W Wheatland Rd Ste 101, Dallas, Texas. You can reach out to his office (for appointments etc.) via phone at (972) 274-5555.

Ajay Shubhadeep Kallam is licensed to practice in Texas (license number Q6432) 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 1306003124.

Contact Information

Ajay Shubhadeep Kallam, MD
3571 W Wheatland Rd Ste 101,
Dallas, TX 75237-3461
(972) 274-5555
(972) 274-5663

Map and Direction




Physician's Profile

Full NameAjay Shubhadeep Kallam
GenderMale
SpecialityNephrology
Experience18 Years
Location3571 W Wheatland Rd Ste 101, Dallas, Texas
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Ajay Shubhadeep Kallam graduated from medical school in 2006
  NPI Data:
  • NPI Number: 1306003124
  • Provider Enumeration Date: 05/20/2008
  • Last Update Date: 06/20/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 1658513700
  • Enrollment ID: I20170412001534

Medical Identifiers

Medical identifiers for Ajay Shubhadeep Kallam such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1306003124NPI-NPPES
05919MedicaidLA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RN0300XInternal Medicine - Nephrology Q6432 (Texas)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Liberty Dialysis - LancasterLancaster, TXDialysis facility
Methodist Charlton Medical CenterDallas, TXHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Dallas Renal Group, P.a.024427728342

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. Ajay Shubhadeep Kallam allows following entities to bill medicare on his behalf.
Entity NameDallas Renal Group, P.a.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1629186168
PECOS PAC ID: 0244277283
Enrollment ID: O20050412000582
Entity NameHospitalist Medicine Physicians Of Texas Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1629307095
PECOS PAC ID: 3476688318
Enrollment ID: O20100317001021

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. Ajay Shubhadeep Kallam 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 AddressPractice Location Address
Ajay Shubhadeep Kallam, MD
3571 W Wheatland Rd Ste 101,
Dallas, TX 75237-3461

Ph: (972) 274-5555
Ajay Shubhadeep Kallam, MD
3571 W Wheatland Rd Ste 101,
Dallas, TX 75237-3461

Ph: (972) 274-5555

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.