Hemant Kalia, MD MPH
Interventional Pain Medicine Physician · Rochester, NY
Hemant Kalia, MD MPH is an interventional pain medicine physician with a practice address in Rochester, New York, and NPI 1689879959, issued on Jun 18, 2007. Check the license (New York 27355901, as entered in NPPES) on the NYS Education Department, Office of the Professions; the Medicare figures below come from public CMS files.
- Name
- Hemant Kalia
- Credential
- MD MPH
- Primary taxonomy
- Interventional Pain Medicine Physician 208VP0014X
- License numbers
- 27355901 NY
273559 NY
Self-reported in NPPES; status is on the state search - Practice location
- 500 Helendale RD Ste LL20, Rochester, NY 14609
- Phone
- (585) 600-7246
- Enumerated
- Jun 18, 2007
- Record last updated
- Dec 17, 2025
- Fax
- (585) 207-2466
- Medicaid ID
- 03796605 NY
- Medicare enrollment
- Enrolled (PECOS I20140509000406); accepts Medicare assignment
- Telehealth
- Offers telehealth (CMS)
- Entity
- Type 1 · individual
8 nearest interventional pain medicine physician records → All 144 in New York → Look up another NPI →
Verify Hemant Kalia in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersNYS Education Department, Office of the Professions
Search for license 27355901Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
58% fewer Medicare Part D claims than the average interventional pain medicine physician in 2024
974 Medicare Part D claims for 223 beneficiaries, against an average of 2,306 among the 2,100 providers of this specialty who prescribed in Part D. Brand-name drugs were 3% of claims. 217 claims were for opioids.
Most prescribed
- Celecoxib152 claims
- Gabapentin109 claims
- Pregabalin87 claims
- Tizanidine Hcl80 claims
- Oxycodone-Acetaminophen68 claims
- Duloxetine Hcl60 claims
Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.
The practice group's MIPS final score for 2023 (Medicare payment program): 68 of 100
The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.
Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).
Industry payments in 2024: $26,075.40
71 payments; by number, the most common kind was food and beverage; the largest payer was Averitas Pharma Inc. The 1,966 providers of this specialty with any payment received $3,889.53 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
4 hospitals and group practices
- Anthony L. Jordan Health CorporationRochester, NY
- Brain And Spine Medical Services PLLCWilliamsville, NY
- Buffalo Spine Medicine And Rehab PLLCOrchard Park, NY
- Wyoming CountyWarsaw, NY · Critical Access Hospitals
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through); hospitals matched to CMS Hospital General Information (Care Compare) (data.cms.gov).
Hemant Kalia among 144 interventional pain medicine physician records in New York
Hemant Kalia, MD MPH is one of 144 interventional pain medicine physician records with a practice address in New York. 91% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2007, is newer than 41% of them.
- NPI issued2007 · 41% of these records are older, 49% newer
- In a Medicare fileYes · 91% of these records are
- In the CMS Doctors and Clinicians fileYes · 80% of these records are
- Graduated2003 · median 2006 among the 115 with a school on file
- Record last updated2025 · 49% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 208VP0014X and a New York practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Interventional Pain Medicine Physician providers in New York
There are 144 interventional pain medicine physician records in New York.
All 144 in New York → Every provider in Rochester → Interventional Pain Medicine Physician nationwide →
The 8 interventional pain medicine physician records with the nearest ZIP codes
- Sharmeen Hussaini, M.D.Rochester, NY 146181992156368
- Ajai Nemani, MDRochester, NY 146251649265539
- Resham Datta, MDPittsford, NY 145341902242597
- Donovan Holder, MDClifton Springs, NY 144321821083718
- Ashraf Sabahat, MDMontour Falls, NY 148651386654051
- Matthew Peer, M.D.Amherst, NY 142261346541695
- Gerald Peer, M.D.Amherst, NY 142261710982749
- Gautam Arora, M.D.Williamsville, NY 142211831339902
Common questions
What is Hemant Kalia, MD MPH's NPI number?
Hemant Kalia, MD MPH's National Provider Identifier (NPI) is 1689879959, issued on Jun 18, 2007. An NPI identifies a provider in billing; it is not a license.
Where is Hemant Kalia, MD MPH located?
The NPPES record lists a practice address at 500 Helendale RD Ste LL20, Rochester, NY, 14609. Phone: (585) 600-7246. Providers update this record themselves, so call before visiting.
How can I verify Hemant Kalia, MD MPH's license?
NPPES lists New York license number 27355901, as entered by the provider. Search the NYS Education Department, Office of the Professions at https://www.op.nysed.gov/services/verifications/online-verification-searches. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Hemant Kalia, MD MPH prescribe under Medicare Part D?
In 2024, Hemant Kalia, MD MPH had 974 Medicare Part D claims for 223 beneficiaries; the average among interventional pain medicine physician prescribers was 2,306. Part D covers Medicare prescriptions only.
What is Hemant Kalia, MD MPH's MIPS final score?
The 2023 MIPS final score is 68 of 100, reported for the practice group. The average among 454,083 clinicians with a measured score was 83.5.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.