Individual provider Active NPI

Domenico Calcaterra, MD

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Indianapolis, IN
National Provider Identifier
1003018250
Registry record updated Oct 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
38062 Issued in IA
Practice address
1801 N Senate Blvd
Ste 3300
Indianapolis, IN 46202-1228
Phone
(317) 923-1787
Fax
(317) 962-6259
NPI assigned
Jun 1, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X ME97069 FL
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X 38062 IA Primary
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X 01071025A IN

Addresses

Primary practice location

1801 N Senate Blvd
Ste 3300
Indianapolis, IN 46202-1228

Mailing address

5304 4TH Avenue Cir E
Bradenton, FL 34208-5624
Phone (941) 744-2640

Other identifiers 1

IdentifierTypeStateIssuer
201080180MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190918002348 FL Practitioner - Thoracic SurgeryPractitioner - Cardiac Surgery 6406914076 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Thoracic SurgeryAlso: Cardiac Surgery
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Holy Cross Hospital Inc 299 clinicians
Riverview Cardiac Surgery PA 6 clinicians

Practice addresses (Care Compare)

1309 S Federal Hwy
Holy Cross Medical Group
Fort Lauderdale, FL 33316-2040
Phone (954) 463-4383

2525 Harbor Blvd
Suite 203
Port Charlotte, FL 33952-5342
Phone (941) 744-2640

4725 N Fed Hwy
Ft. Lauderdale, FL 33308-4603
Phone (954) 771-8000

4725 N Federal Hwy
Fort Lauderdale, FL 33308-4603
Phone (954) 542-6000

4725 N Federal Hwy 201
Holy Cross Medical Group
Ft Lauderdale, FL 33308-4603
Phone (954) 565-5807

4725 N Federal Hwy 302
Holy Cross Medical Group
Ft Lauderdale, FL 33308-4603
Phone (954) 351-5931

4725 N Federal Hwy 401
Holy Cross Medical Group
Ft Lauderdale, FL 33308-4603
Phone (954) 772-2136

4725 N Federal Hwy 501
Holy Cross Medical Group
Fort Lauderdale, FL 33308-4603
Phone (954) 351-7770

4725 N Federal Hwy 504
Holy Cross Medical Group
Ft Lauderdale, FL 33308-4603
Phone (954) 414-9750

4725 N Federal Hwy Cancer Ctr
Holy Cross Medical Group
Ft Lauderdale, FL 33308-4603
Phone (954) 267-7700

4725 N Federal Hwy HCMG Multispecialty
Holy Cross Medical Group
Ft Lauderdale, FL 33308-4603
Phone (954) 267-6770

4725 N Federal Hwy Neuro Radiology
Holy Cross Medical Group
Ft Lauderdale, FL 33308-4603
Phone (954) 492-5780

4725 N Federal Hwy Nuclear Medicine
Holy Cross Medical Group
Ft Lauderdale, FL 33308-4603
Phone (954) 492-5748

4725 N Federal Hwy Pathology Departmen
Holy Cross Medical Group
Ft Lauderdale, FL 33308-4603
Phone (954) 492-5728

Hospital & facility affiliations

  • Holy Cross Hospital Hospital, Ft Lauderdale, FL, CCN 100073
  • HCA Florida Blake Hospital Hospital, Bradenton, FL, CCN 100213
  • Manatee Memorial Hospital Hospital, Bradenton, FL, CCN 100035
  • HCA Florida Fawcett Hospital Hospital, Port Charlotte, FL, CCN 100236

Merit-based Incentive Payment System (MIPS)

Final score
76.78 of 100Reported as group
Quality
53.33
Improvement activities
40
Cost
68.16

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary artery bypass graft (CABG)1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
01071025AINMDThoracic Surgery (Cardiothoracic Vascular Surgery) Physician

Practice roles (12 of 25)

OrganizationSpecialtyStatusNew patients
University of Florida Jacksonville Physicians Inc Thoracic Surgery (Cardiothoracic Vascular Surgery) CurrentSince May 1, 2022 Accepting new patients
Riverview Cardiac Surgery PA Thoracic Surgery (Cardiothoracic Vascular Surgery) CurrentSince Jul 28, 2021 Accepting new patients
Port Charlotte Hma Physician Management LLC CurrentSince Jul 23, 2019 Accepting new patients
University of Florida Jacksonville Physicians, Inc. CurrentSince May 1, 2022 Accepting new patients
Holy Cross Hospital, Inc CurrentSince Apr 1, 2025 Accepting new patients
Port Charlotte Hma Physician Management LLC CurrentSince Jul 23, 2019 Accepting new patients
University of Florida Jacksonville Physicians, Inc. Current Accepting new patients
Holy Cross Hospital Inc CurrentSince Apr 1, 2025 Accepting new patients
Orlando Health, Inc. Current Accepting new patients
Indiana University Health Care Associates, Inc Past Accepting new patients
University Medical Diagnostic Associates, Inc. Past Accepting new patients
Premier Dermatology, LLC PastSince Oct 31, 2021 Accepting new patients

Locations

1012 N Mills Ave
Arcadia, FL 34266
Phone (863) 494-2663

250 2nd St E
Ste 4G
Bradenton, FL 34208
Phone (941) 708-8199

5304 4th Avenue Cir E
Bradenton, FL 34208
Phone (941) 744-2640

300 Riverside Dr E
Ste 3100
Bradenton, FL 34208
Phone (941) 744-2640

4725 N Federal Hwy
Ste 402
Ft Lauderdale, FL 33308
Phone (954) 542-6770

1309 S Federal Hwy
#G
Ft Lauderdale, FL 33316
Phone (954) 463-4383

655 W 8th St
Jacksonville, FL 32209
Phone (904) 244-1680

1641 Tamiami Trl
Ste 2
Pt Charlotte, FL 33948
Phone (941) 255-3499

2525 Harbor Blvd
Ste 203
Pt Charlotte, FL 33952
Phone (941) 255-7020

2237 US Highway 27 S
Sebring, FL 33870
Phone (863) 385-4300

Networks

  • AL HMO D-SNP
  • FL PPO
  • devoted network organization-0f7f8d4f-1035-4992-8c02-dc86d12e700e
  • devoted network organization-14bfd35d-d818-4696-813b-340339e464ef
  • FL HMO C-SNP
  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network
  • AL HMO
  • devoted network organization-25ba88d3-d0a6-4213-84f1-eef6f2b59f68
  • devoted network organization-84bf27aa-506a-49c4-8818-702cf5e8efb3
  • FL HMO D-SNP
  • FL HMO
  • devoted network organization-d5084670-562f-408b-b100-22a1a4ef4d82

Interoperability endpoints

  • Direct secure messaging: dcalcaterra4174369@direct.trinity-health.org
  • Direct secure messaging: dominck.calcaterra.1@4692.direct.athenahealth.com
  • Direct secure messaging: dcalcaterra240278@orlandohealth.medalliesdirect.net

Organizations & group practices 13

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 13

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1180656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635206400000",
    "number": "1003018250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5304 4TH AVENUE CIR E",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342085624",
            "telephone_number": "941-744-2640",
            "fax_number": "941-744-2650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 N SENATE BLVD",
            "address_2": "STE 3300",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462021228",
            "telephone_number": "317-923-1787",
            "fax_number": "317-962-6259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALCATERRA",
        "first_name": "DOMENICO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-01",
        "last_updated": "2021-10-26",
        "certification_date": "2021-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "FL",
            "license": "ME97069",
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "IA",
            "license": "38062",
            "primary": true
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "IN",
            "license": "01071025A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201080180",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.