Dr. Rahul Madhav Kale, MD

  • San Juan Capistrano, CA
  • Pulmonologist
NPI1447330915PAC ID5698870814
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
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Personal email
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Mobile number
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Social profiles

Primary practice

Paloma Medical Group Inc

San Juan Capistrano, California

See all 14 affiliations

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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 and contact details
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
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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 Inc
    30230 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.

See all 14 affiliations for Dr. Kale

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.

EHR by site
SiteEHR vendor and product
Paloma Medical Group IncAvailable with a free account
+9 more sites and 3 medical groupsAvailable 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, CaliforniaPrimaryLicense A86820 · 2004 to 2025 · taxonomy 207RP1001X

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.

1,339pulmonologists in California
7pulmonologists in San Juan Capistrano

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.

Medicare services, 20242,878
Medicare patients367
Paid by Medicare$351,026
Procedure codes17

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.

See all procedures by Dr. Kale

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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.

Medicare patients, 2024367
Average age77
Average risk score3.11
Also on Medicaid41%

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

  1. High blood pressure75%
  2. High cholesterol75%
  3. Arthritis55%
  4. Diabetes53%
  5. Atrial fibrillation47%
  6. Chronic kidney disease47%
  7. Heart failure47%
  8. 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.

Part D claims, 20241,215
Drugs named by CMS32
Total drug cost$108,308
Part D patients126

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.

See all prescribing by Dr. Kale

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

For MedTech and pharma teams

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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

$8.3Kin total
  • 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.

See all payments to Dr. Kale

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.

  1. Medical schoolUniversidad Autonoma de Guadalajara
  2. Board certified in critical care medicineAmerican Board of Internal Medicine
  3. Board certified in internal medicineAmerican Board of Internal Medicine
  4. Board certified in pulmonary diseaseAmerican Board of Internal Medicine
  5. Board certified in sleep medicineAmerican Board of Internal 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.

Plan types Dr. Kale accepts, by number of carriers

  1. Medicare10
  2. PPO10
  3. HMO8
  4. EPO4
  5. POS4

Source: Dmand AI Insurance Network Data

Sources for Dr. Rahul Madhav Kale's profile data

Sources for the data on this page
Data on this pageSource
NPI, name, sex, specialty and licensesNPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data
Practice locations and phoneNPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Practice Data
Primary practice, affiliations and health systemNPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Practice DataDmand AI Affiliation Data
Medicare services and procedure codesMedicare Physician & Other Practitioners - by Provider and Service (CMS) (opens in a new tab)
State medians for the same specialtyDmand AI Peer Benchmarks
Medicare patients and the all-payer patient panelDmand AI Patient Panel DataMedicare Physician & Other Practitioners - by Provider (CMS) (opens in a new tab)
Part D prescribingMedicare 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 percentilesDoctors and Clinicians National Downloadable File (CMS) (opens in a new tab)Clinician Public Reporting: Overall MIPS Performance (CMS) (opens in a new tab)
Industry paymentsOpen Payments (CMS) (opens in a new tab)
Training, board certification and membershipsDmand AI Professional Profile Data
Insurance carriers and plan typesDmand AI Insurance Network Data
EHR at each practice siteDmand AI Technology Install Data
Similar physiciansDmand 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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