Provider profile

Jay KalawadiaMD

Orthopaedic Surgery

2 locationsNPI 1417186156
250 Cetronia Rd, Allentown, PA 18104610-973-6200

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Medicare Advantage plans for Lehigh County, PA and Gloucester County, NJ.

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Directory results See what each insurance company reports

Listed on 52 plans so far

Some of Capital Blue Cross, Aetna Medicare, Devoted, Geisinger Gold, Jefferson Health Plans, Wellcare, AmeriHealth, Clover Health, HealthSpring, Highmark Wholecare Medicare Assured, Humana, UnitedHealthcare, UPMC for Life, UPMC for Life Complete Care, VISTA Health Plan Inc. and Wellpoint's 2027 plans in Lehigh County, PA and Gloucester County, NJ haven't been checked yet.

The 150 Medicare Advantage plans we show for Lehigh County, PA and Gloucester County, NJ in 2027

  • 52 list Jay
  • 42 not listed
  • 56 not checked yet

Capital Blue Cross · Highmark Blue Cross Blue Shield or Highmark Blue Shield · Horizon Blue Cross Blue Shield of New Jersey

12 plans list Jay.

12plans
  • Capital Blue Cross Essential (HMO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 250 Cetronia Rd, Allentown, PA, 18104

    This result applies to these offices. Other locations are not confirmed.

    HMODrug coverage4 starsH3962-022-003Medicare.gov
    $0a month
  • Capital Blue Cross Select (PPO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 250 Cetronia Rd, Allentown, PA, 18104

    This result applies to these offices. Other locations are not confirmed.

    PPODrug coverage4 starsH3923-044-003Medicare.gov
    $0a month
  • Capital Blue Cross Value (PPO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 250 Cetronia Rd, Allentown, PA, 18104

    This result applies to these offices. Other locations are not confirmed.

    PPODrug coverage4 starsH3923-045-003Medicare.gov
    $0a month
  • Community Blue Medicare HMO Signature (HMO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 4652 Broadway, Allentown, PA, 18104
    • 250 Cetronia Rd, Allentown, PA, 18104

    This result applies to these offices. Other locations are not confirmed.

    HMODrug coverage4.5 starsH3957-042-004Medicare.gov
    $0a month

9 more Capital Blue Cross plans haven't been checked yet.

Aetna Medicare

10 plans list Jay.

10plans
  • Aetna Medicare Advantra Eagle Plus (HMO-POS)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 250 Cetronia Rd, Allentown, PA, 18104

    This result applies to these offices. Other locations are not confirmed.

    HMO-POSNo drug coverage3.5 starsH3959-041-000Medicare.gov
    $0a month
  • Aetna Medicare Advantra Signature (PPO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 250 Cetronia Rd, Allentown, PA, 18104

    This result applies to these offices. Other locations are not confirmed.

    PPODrug coverage4.5 starsH5522-004-000Medicare.gov
    $0a month
  • Aetna Medicare Signature (HMO-POS)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 250 Cetronia Rd, Allentown, PA, 18104

    This result applies to these offices. Other locations are not confirmed.

    HMO-POSDrug coverage3.5 starsH3959-101-000Medicare.gov
    $0a month
  • Aetna Medicare Signature Extra (PPO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 250 Cetronia Rd, Allentown, PA, 18104

    This result applies to these offices. Other locations are not confirmed.

    PPODrug coverage4 starsH5521-263-000Medicare.gov
    $0a month

10 more Aetna Medicare plans haven't been checked yet.

Devoted

10 plans list Jay.

10plans
  • DEVOTED CHOICE 007 PA (PPO)

    Source: Devoted provider directory.

    Listed offices for this plan:

    • 250 Cetronia Rd, Allentown, PA, 18104
    • 2901 Emrick Blvd, Bethlehem, PA, 18020

    This result applies to these offices. Other locations are not confirmed.

    PPODrug coverage3 starsH6018-007-000Medicare.gov
    $0a month
  • DEVOTED CHOICE GIVEBACK 003 PA (PPO)

    Source: Devoted provider directory.

    Listed offices for this plan:

    • 250 Cetronia Rd, Allentown, PA, 18104
    • 2901 Emrick Blvd, Bethlehem, PA, 18020

    This result applies to these offices. Other locations are not confirmed.

    PPODrug coverage3 starsH6018-003-000Medicare.gov
    $0a month
  • DEVOTED CORE 008 PA (HMO)

    Source: Devoted provider directory.

    Listed offices for this plan:

    • 2901 Emrick Blvd, Bethlehem, PA, 18020

    This result applies to these offices. Other locations are not confirmed.

    HMODrug coverage3.5 starsH6852-008-000Medicare.gov
    $0a month
  • DEVOTED GIVEBACK 009 PA (HMO)

    Source: Devoted provider directory.

    Listed offices for this plan:

    • 2901 Emrick Blvd, Bethlehem, PA, 18020

    This result applies to these offices. Other locations are not confirmed.

    HMODrug coverage3.5 starsH6852-009-000Medicare.gov
    $0a month

6 more Devoted plans haven't been checked yet.

Geisinger Gold

9 plans list Jay.

9plans
  • Geisinger Gold Classic 360 Rx (HMO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 250 Cetronia Rd, Ste 303, Allentown, PA, 18104

    This result applies to these offices. Other locations are not confirmed.

    HMODrug coverage4 starsH3954-160-000Medicare.gov
    $0a month
  • Geisinger Gold Classic Essential Rx (HMO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 250 Cetronia Rd, Ste 303, Allentown, PA, 18104

    This result applies to these offices. Other locations are not confirmed.

    HMODrug coverage4 starsH3954-161-000Medicare.gov
    $0a month
  • Geisinger Gold Heritage (HMO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 250 Cetronia Rd, Ste 303, Allentown, PA, 18104

    This result applies to these offices. Other locations are not confirmed.

    HMONo drug coverage4 starsH3954-162-000Medicare.gov
    $0a month
  • Geisinger Gold Preferred Complete Rx (PPO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 250 Cetronia Rd, Ste 303, Allentown, PA, 18104

    This result applies to these offices. Other locations are not confirmed.

    PPODrug coverage4 starsH3924-065-000Medicare.gov
    $0a month

1 more Geisinger Gold plan hasn't been checked yet.

Jefferson Health Plans

8 plans list Jay.

8plans
  • Jefferson Health Plans Complete (HMO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 250 Cetronia Rd, Ste 303, Allentown, PA, 18104
    • 250 Cetronia Rd, Ste 200, Allentown, PA, 18104

    This result applies to these offices. Other locations are not confirmed.

    HMODrug coverage3 starsH9207-012-000Medicare.gov
    $0a month
  • Jefferson Health Plans Flex (PPO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 250 Cetronia Rd, Ste 303, Allentown, PA, 18104
    • 250 Cetronia Rd, Ste 200, Allentown, PA, 18104

    This result applies to these offices. Other locations are not confirmed.

    PPODrug coverage3 starsH1619-001-000Medicare.gov
    $0a month
  • Jefferson Health Plans Giveback (HMO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 250 Cetronia Rd, Ste 303, Allentown, PA, 18104
    • 250 Cetronia Rd, Ste 200, Allentown, PA, 18104

    This result applies to these offices. Other locations are not confirmed.

    HMODrug coverage3 starsH9207-015-000Medicare.gov
    $0a month
  • Jefferson Health Plans Prime (HMO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 250 Cetronia Rd, Ste 303, Allentown, PA, 18104
    • 250 Cetronia Rd, Ste 200, Allentown, PA, 18104

    This result applies to these offices. Other locations are not confirmed.

    HMODrug coverage3 starsH9207-002-000Medicare.gov
    $12.80a month

2 more Jefferson Health Plans plans haven't been checked yet.

Wellcare

3 plans list Jay.

3plans
  • Wellcare Simple (HMO-POS)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 250 Cetronia Rd, Allentown, PA, 18104

    This result applies to these offices. Other locations are not confirmed.

    HMO-POSDrug coverage3.5 starsH2915-003-000Medicare.gov
    $0a month
  • Wellcare PA Health & Wellness Dual Liberty Sync (HMO-POS D-SNP)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 250 Cetronia Rd, Allentown, PA, 18104

    This result applies to these offices. Other locations are not confirmed.

    HMO-POSFor people with Medicare and MedicaidDrug coverage3.5 starsH2915-002-000Medicare.gov
    $0a month
  • Wellcare PA Health & Wellness Dual Select (HMO-POS D-SNP)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 250 Cetronia Rd, Allentown, PA, 18104

    This result applies to these offices. Other locations are not confirmed.

    HMO-POSFor people with Medicare and MedicaidDrug coverage3.5 starsH2915-018-000Medicare.gov
    $0a month

3 more Wellcare plans haven't been checked yet.

AmeriHealth

Not checked yet.

Clover Health

Not checked yet.

HealthSpring

Not checked yet.

2 more HealthSpring plans haven't been checked yet.

Highmark Wholecare Medicare Assured

Not listed on its 2 plans here. That isn't proof they're out of network.

Humana

Not checked yet.

5 more Humana plans haven't been checked yet.

UnitedHealthcare

Not checked yet.

11 more UnitedHealthcare plans haven't been checked yet.

UPMC for Life

Not listed on its 8 plans here. That isn't proof they're out of network.

UPMC for Life Complete Care

Not listed on its 1 plan here. That isn't proof they're out of network.

VISTA Health Plan Inc.

Not listed on its 1 plan here. That isn't proof they're out of network.

Wellpoint

Not checked yet.

Premiums are each plan's own monthly premium, as filed with Medicare. You keep paying your Medicare Part B premium.

Can't find your plan?Tell us the plan you have, and a licensed Silverpath advisor will check whether Jay takes it. Free.

Original Medicare status

Most Medicare Supplement (Medigap) policies have no provider network: they help pay Original Medicare's cost sharing where Medicare is accepted. Medicare SELECT policies can require network providers for full benefits. Ask the office whether they accept Medicare.

Medicare enrollment and assignment have not been verified here. Advantage directory results do not answer this question.

No opt-out record in this CMS file. CMS's file covers data through 2026-08-31. This does not establish Medicare enrollment, assignment, or whether the office accepts new Medicare patients.

CMS opt-out source · Data through 2026-08-31 · Reviewed Oct 25, 2026

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2 practice locations

250 Cetronia Rd
Allentown, PA 18104

NPI Registry

414 Tatum St
Woodbury, NJ 08096

NPI Registry
NPI issued
2009
Registry record updated
Jul 21, 2022

Medicare's clinician details aren't available on this page yet.

Common questions

Which 2027 Medicare Advantage plans list Jay Kalawadia?

In Lehigh County, PA and Gloucester County, NJ, 52 Medicare Advantage plans for 2027 list Jay in provider data from Medicare.gov or the carrier, including Capital Blue Cross Essential (HMO), Capital Blue Cross Select (PPO) and Capital Blue Cross Value (PPO). CMS matches apply to the covered offices shown with each plan; other offices are not confirmed. Networks can change during the year, so confirm with the office or the plan before you enroll.

Where does Jay Kalawadia practice?

2 locations, including 250 Cetronia Rd, Allentown, PA. All of them are listed on this page.

How do I confirm Jay is in my plan's network?

Call the member services number on your plan card and give them the NPI 1417186156, or ask a Silverpath advisor to check for you. It's free.

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A Silverpath advisor can confirm Jay's networks with the carrier and help you compare plans that include them.

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Is this your practice?

Patients can use Silverpath to find practices and check plan networks in Lehigh County, PA and Gloucester County, NJ. Tell us which plans you take, or want to take, and we'll keep this page accurate and talk with you about reaching more Medicare patients and carriers.

Sources. Name, specialty and locations: the CMS NPI Registry (record updated 2022-07-21). Plan networks: carrier provider directories and Medicare.gov provider data, checked Oct 14, 2026. CMS matches apply to the covered offices shown with each plan. Plans: CMS 2027 Medicare Advantage landscape.

Networks change during the year, and a directory can be out of date. Confirm with the provider's office and the plan before you enroll or schedule care.

Silverpath is a licensed insurance agency. This page isn't affiliated with or endorsed by Jay Kalawadia or their practice. Not connected with or endorsed by the U.S. government or the federal Medicare program.

We do not offer every plan available in your area. Please contact Medicare.gov or 1-800-MEDICARE to get information on all of your options.

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