Dr. Rahul Madhav Kale, MD
- Medicare services, 2024
- 2,878
- Medicare patients, 2024
- 367
- Part D claims, 2024
- 1,215
- MIPS score, 2024
- 100
- Hospital affiliations
- 3
- Practice address
- 30230 Rancho Viejo Rd, San Juan Capistrano, CA 92675
- Practice phone
- Call (949) 443-4303
- Professional email
- Get professional email
- Personal email
- Get personal email
- Mobile number
- Get mobile number
Primary practice
Paloma Medical Group Inc
San Juan Capistrano, California
Find Dr. Kale's professional email, personal email and mobile number
Dmand AI checks each channel through healthcare-specific waterfall enrichment. See what is on file with a free account, with practice phones, licenses and affiliations.
Dr. Rahul Madhav Kale is a pulmonologist in San Juan Capistrano, California
Dr. Kale practices at Paloma Medical Group Inc in San Juan Capistrano, California.
Dr. Kale's NPI, 1447330915, was assigned on October 17, 2006. Dr. Kale graduated from Universidad Autonoma de Guadalajara in 2000. Dr. Kale's California license number on file is A86820.
- NPI
- 1447330915NPI Registry (opens in a new tab)
- Medicare PAC ID
- 5698870814
- NPI enumeration date
- October 17, 2006
- NPI status
- Active
- Accepts Medicare assignment
- Yes
- Practice phone
- (949) 443-4303
- Professional email
- Get email
- Personal email
- Get email
- Mobile number
- Get number
- Sex
- Male
- Estimated age
- 52
- Medical school graduation
- 2000
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; Dmand AI Practice Data; and Doctors and Clinicians National Downloadable File (CMS)
Dr. Rahul Madhav Kale practices at Paloma Medical Group Inc in San Juan Capistrano, California
Dr. Kale's primary practice is Paloma Medical Group Inc, at 30230 Rancho Viejo Rd, San Juan Capistrano, CA 92675 in Orange County. The practice phone is (949) 443-4303.
- Paloma Medical Group Inc30230 Rancho Viejo Rd, San Juan Capistrano, CA 92675 · Orange CountyPhone(949) 443-4303
Sources: NPPES NPI Registry (CMS); and Dmand AI Practice Data
Dr. Rahul Madhav Kale is affiliated with 10 sites of care and 4 medical groups
Dr. Kale's primary practice is Paloma Medical Group Inc in San Juan Capistrano, California. Dr. Kale is also affiliated with UCI Health - Orange. The medical group on file is UCI Health Physicians. Dmand AI also links Dr. Kale to 2 more hospitals, 4 group practices and clinics, 3 medical groups, 1 hospice and 1 skilled nursing facility, each named with a free account.
Sources: NPPES NPI Registry (CMS); Dmand AI Practice Data; and Dmand AI Affiliation Data
Dmand AI tracks the EHR system at Dr. Rahul Madhav Kale's practice
Dmand AI tracks the electronic health record (EHR) system at each site where Dr. Kale practices, 9 sites in all. Vendor and product names are available with a free account.
| Site | EHR vendor and product |
|---|---|
| Paloma Medical Group Inc | Available with a free account |
| +9 more sites and 3 medical groups | Available with a free account |
Source: Dmand AI Technology Install Data
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Dr. Rahul Madhav Kale is one of 1,339 pulmonologists in California
Pulmonary disease is Dr. Kale's primary specialty in the NPI Registry, under taxonomy code 207RP1001X. Dr. Kale is board certified in critical care medicine by the American Board of Internal Medicine. Dr. Kale has a license on file in California.
Specialties and state licenses
- Pulmonary disease, CaliforniaPrimary
Clinical focus
Dmand AI lists asthma, chronic obstructive pulmonary disease (COPD), chronic respiratory failure, pulmonary fibrosis, sleep apnea and tobacco use among the conditions Dr. Kale treats.
Pulmonologists near Dr. Kale
Counts of pulmonologists with a Dmand AI profile, by place and practice. Each opens the list.
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Peer Benchmarks
Dr. Rahul Madhav Kale billed Medicare for 2,878 services in 2024
CMS data shows 2,878 Medicare services from Dr. Kale across 17 procedure codes in 2024, for 367 Medicare patients. Medicare paid $351,026 for them.
Dr. Kale's Medicare services by type, 2023 to 2024
- 2023
- 2024
- Office and hospital visits
- 2023: 2,1952024: 2,60819%
- Other services
- 2023: 2932024: 18437%
- Tests and treatments
- 2023: 1312024: 8634%
Where Dr. Kale's Medicare services took place, 2024
- In an office38914%
- In a facility2,48986%
Dr. Kale compared with the California median for pulmonologists, 2024
- Dr. Kale
- California median
- Medicare services
- 2,878vs 6494.4 times
- Medicare patients
- 367vs 27235% above
- Part D claims
- 798vs 42190% above
Medians across 1,263 pulmonologists in California with Dmand AI profiles that report each measure.
Dr. Kale's most billed Medicare procedure codes, 2024
CMS publishes codes billed for 11 or more Medicare patients. Each label is the code family; CPT descriptions are licensed by the AMA.
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Medicare shows one payer. Book a meeting to get commercial claims data for Dr. Kale and other pulmonologists in California.
Sources: Medicare Physician & Other Practitioners - by Provider and Service (CMS), 2024 data; and Dmand AI Peer Benchmarks
Dr. Rahul Madhav Kale treated 367 Medicare patients in 2024, average age 77
CMS counts 367 Medicare patients who saw Dr. Kale in 2024. The largest group is 75 to 84, with 133 patients. 75% of them have high blood pressure, and 75% have high cholesterol. 41% are also on Medicaid. Their average risk score is 3.11, where 1.00 is the Medicare average, so they are sicker than most Medicare patients.
Across all payers, Dmand AI patient panel data puts Dr. Kale's median patient age at 73, with 50% women.
Dr. Kale's Medicare patients by age, 2024
Dr. Kale's Medicare patients by sex, 2024
- Women18350%
- Men18450%
Chronic conditions among Dr. Kale's Medicare patients, 2024
- High blood pressure75%
- High cholesterol75%
- Arthritis55%
- Diabetes53%
- Atrial fibrillation47%
- Chronic kidney disease47%
- Heart failure47%
- Ischemic heart disease47%
Share of Medicare patients with each condition. A patient can have several.
Dr. Kale's patients across all payers
Dmand AI patient panel data covers Medicare, Medicaid and commercial patients.
Patient panel by age, all payers
Median age 73
Patient panel by sex, all payers
- Women50%
- Men49%
Sources: Dmand AI Patient Panel Data; and Medicare Physician & Other Practitioners - by Provider (CMS), 2024 data
Dr. Rahul Madhav Kale wrote 1,215 Medicare Part D claims in 2024
In 2024, Dr. Kale wrote 1,215 Medicare Part D claims for 126 patients. 66% of them were for generic drugs. CMS names the drug for 798 of them, across 32 drugs with 11 or more claims each, at $108,308 in total drug cost. In 2023, CMS named 428 claims across 19 drugs.
Dr. Kale's Part D claims by kind of drug, 2024
- Generic807 claims66%
- Brand-name and other408 claims34%
Dr. Kale's most prescribed drugs by claims, 2024
CMS names a drug when it has 11 or more claims. Share is of the claims for drugs CMS names.
Drug classes CMS tracks in Dr. Kale's Part D claims, 2024
- Antibiotics7%86 of 1,215 claims
Share of all Part D claims for each drug class CMS reports on. Classes with no claims are left out.
Part D claims for drugs CMS names, 2023 to 2024
- 2023
- 2024
- Claims for drugs CMS names
- 2023: 4282024: 79886%
Drugs named by CMS: 32 in 2024, 19 in 2023.
Sources: Medicare Part D Prescribers - by Provider and Drug (CMS), 2024 data, released May 6, 2026; and Medicare Part D Prescribers - by Provider (CMS), 2024 data
Dr. Rahul Madhav Kale scored 100 out of 100 in Medicare's MIPS program for 2024
CMS publishes a Merit-based Incentive Payment System (MIPS) score of 100 out of 100 for Dr. Kale for performance year 2024, reported through an alternative payment model (APM). Dr. Kale accepts Medicare assignment, so Medicare's approved amount is taken as full payment.
- Accepts Medicare assignment
- Yes
Dr. Kale's MIPS scores, performance year 2024
- 100of 100Final score
- 83.7of 100Quality
- 100of 100Promoting Interoperability
- 40of 100Improvement Activities
Each score is out of 100. The final score weighs the categories CMS scored for this clinician.
Sources: Doctors and Clinicians National Downloadable File (CMS); and Clinician Public Reporting: Overall MIPS Performance (CMS), 2024 data, released September 10, 2026
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Dr. Rahul Madhav Kale received $8,257 in industry payments from 2016 to 2025
CMS Open Payments shows 412 general payments to Dr. Kale from 58 drug and device companies from 2016 to 2025. Food and beverage make up the largest share, 97% of the total. GlaxoSmithKline, LLC. paid the most, $1,314.
General payments to Dr. Kale by program year, 2016 to 2025
General payments to Dr. Kale by kind, 2016 to 2025
- Food and beverage$8,04997%
- Education$1752%
- Speaker and faculty fees$330%
Companies that paid Dr. Kale the most, 2016 to 2025
Share is of all general payments to this clinician.
Source: Open Payments (CMS), 2025 data, released July 7, 2026
Dr. Rahul Madhav Kale graduated from Universidad Autonoma de Guadalajara
Dr. Kale graduated from Universidad Autonoma de Guadalajara in 2000.
- Medical school
- Board certified in critical care medicine
- Board certified in internal medicine
- Board certified in pulmonary disease
- Board certified in sleep medicine
Source: Dmand AI Professional Profile Data
Dr. Rahul Madhav Kale accepts plans from 15 insurance carriers
Dr. Kale is in network with 15 carriers, including Aetna, Elevance and Blue Cross Blue Shield of Michigan. Medicare plans come from the most carriers, 10. Check the plan with the practice before a visit.
- Aetna
- Elevance
- Blue Cross Blue Shield of Michigan
- United Healthcare
- HCSC
- Humana
- Blue Cross Blue Shield of Massachusetts
- Molina
- +7 more carriersWith a free account
Plan types Dr. Kale accepts, by number of carriers
- Medicare10
- PPO10
- HMO8
- EPO4
- POS4
Source: Dmand AI Insurance Network Data
Sources for Dr. Rahul Madhav Kale's profile data
| Data on this page | Source |
|---|---|
| NPI, name, sex, specialty and licenses | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data |
| Practice locations and phone | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Practice Data |
| Primary practice, affiliations and health system | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Practice DataDmand AI Affiliation Data |
| Medicare services and procedure codes | Medicare Physician & Other Practitioners - by Provider and Service (CMS) (opens in a new tab) |
| State medians for the same specialty | Dmand AI Peer Benchmarks |
| Medicare patients and the all-payer patient panel | Dmand AI Patient Panel DataMedicare Physician & Other Practitioners - by Provider (CMS) (opens in a new tab) |
| Part D prescribing | Medicare Part D Prescribers - by Provider and Drug (CMS) (opens in a new tab)Medicare Part D Prescribers - by Provider (CMS) (opens in a new tab) |
| MIPS scores, telehealth, assignment and procedure percentiles | Doctors and Clinicians National Downloadable File (CMS) (opens in a new tab)Clinician Public Reporting: Overall MIPS Performance (CMS) (opens in a new tab) |
| Industry payments | Open Payments (CMS) (opens in a new tab) |
| Training, board certification and memberships | Dmand AI Professional Profile Data |
| Insurance carriers and plan types | Dmand AI Insurance Network Data |
| EHR at each practice site | Dmand AI Technology Install Data |
| Similar physicians | Dmand AI Affiliation Data |
Data last refreshed October 2026Report an inaccuracyRemove my information
FAQ
Frequently asked questions about Dr. Rahul Madhav Kale
Spotted something out of date? Email hello@dmand.ai and we will check the record. Contact details live in the free trial.
What is Dr. Rahul Madhav Kale's NPI number?
Dr. Rahul Madhav Kale's NPI number is 1447330915. It was assigned on October 17, 2006, and it is active in the NPI Registry.
What kind of doctor is Dr. Rahul Madhav Kale?
Dr. Rahul Madhav Kale is a pulmonologist in San Juan Capistrano, California. The primary specialty in the NPI Registry is Pulmonary Disease Physician (taxonomy code 207RP1001X).
Where does Dr. Rahul Madhav Kale practice?
Dr. Kale practices at 30230 Rancho Viejo Rd, San Juan Capistrano, CA 92675. Dr. Kale's primary practice is Paloma Medical Group Inc in San Juan Capistrano, California. Dmand AI also links Dr. Kale to 2 hospitals, 4 group practices and clinics, 3 medical groups, 1 hospice and 1 skilled nursing facility.
What is Dr. Rahul Madhav Kale's office phone number?
The practice phone on file for Dr. Kale is (949) 443-4303.
What is Dr. Rahul Madhav Kale's medical license number?
Dr. Kale's California license number on file is A86820.
Which hospitals is Dr. Rahul Madhav Kale affiliated with?
Dr. Kale is affiliated with UCI Health - Orange. Dmand AI links Dr. Kale to 2 more hospitals.
What medical group is Dr. Rahul Madhav Kale part of?
Dr. Kale is linked to UCI Health Physicians. Dmand AI links Dr. Kale to 3 more medical groups.
Does Dr. Rahul Madhav Kale accept Medicare?
Yes. CMS data shows Dr. Kale billed Medicare for 2,878 services in 2024, and Dr. Kale accepts Medicare assignment.
What is Dr. Rahul Madhav Kale's MIPS score?
Dr. Kale's MIPS final score for performance year 2024 is 100 out of 100, reported through an alternative payment model (APM).
How many Medicare patients does Dr. Rahul Madhav Kale see?
CMS counts 367 Medicare patients who saw Dr. Kale in 2024, with an average age of 77.
Show 7 more questionsShow fewer questions
Is Dr. Rahul Madhav Kale board certified?
Yes. Dr. Kale is board certified in critical care medicine by the American Board of Internal Medicine.
What services does Dr. Rahul Madhav Kale bill to Medicare?
In 2024, Dr. Kale's most billed Medicare services were nursing facility care (99310), hospital inpatient care (99233) and critical care (99291).
Where did Dr. Rahul Madhav Kale go to medical school?
Dr. Kale graduated from Universidad Autonoma de Guadalajara in 2000.
What drugs does Dr. Rahul Madhav Kale prescribe most?
In 2024 Medicare Part D data, Dr. Kale's most prescribed drugs by claims were Ipratropium-Albuterol, Sodium Chloride and Metoprolol Tartrate.
Has Dr. Rahul Madhav Kale received payments from drug or device companies?
CMS Open Payments shows $8,257 in general payments to Dr. Kale from 58 companies from 2016 to 2025. The largest total came from GlaxoSmithKline, LLC.
How long has Dr. Rahul Madhav Kale been practicing?
Dr. Kale graduated from medical school in 2000, 26 years ago.
What insurance does Dr. Rahul Madhav Kale accept?
Dr. Kale is in network with 15 carriers, including Aetna, Elevance and Blue Cross Blue Shield of Michigan. Medicare plans come from the most carriers, 10. Check the plan with the practice before a visit.
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