Active NPI
Domenico Calcaterra, MD
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Indianapolis, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- License
- 38062
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 201080180 | Medicaid | IN |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190918002348 | FL | Practitioner - Thoracic Surgery | 6406914076 | Reassigns benefits to 4 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Thoracic Surgery
- Education
- Other, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Holy Cross Hospital IncRiverview Cardiac Surgery PA
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
- HCA Florida Blake Hospital
- Manatee Memorial Hospital
- HCA Florida Fawcett Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 76.78 of 100
- Quality
- 53.33
- Improvement activities
- 40
- Cost
- 68.16
Procedures performed for Medicare patients
| Procedure | Number 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
| License | State | Type | Specialty |
|---|---|---|---|
| 01071025A | IN | MD | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician |
Practice roles (12 of 25)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Florida Jacksonville Physicians Inc | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Current | Accepting new patients |
| Riverview Cardiac Surgery PA | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Current | Accepting new patients |
| Port Charlotte Hma Physician Management LLC | Current | Accepting new patients | |
| University of Florida Jacksonville Physicians, Inc. | Current | Accepting new patients | |
| Holy Cross Hospital, Inc | Current | Accepting new patients | |
| Port Charlotte Hma Physician Management LLC | Current | Accepting new patients | |
| University of Florida Jacksonville Physicians, Inc. | Current | Accepting new patients | |
| Holy Cross Hospital Inc | Current | 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 | Past | 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
- dcalcaterra4174369@direct.trinity-health.org
- dominck.calcaterra.1@4692.direct.athenahealth.com
- 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.
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Bradenton, FL
- NPI 1922053115
FL, Thoracic Surgery (Cardiothoracic Vascular Surgery)
-
- Family Medicine Physician
- Punta Gorda, FL
- NPI 1003985573
FL
-
- Internal Medicine Physician
- Jacksonville, FL
- NPI 1144276452
FL
-
- Health & Wellness Coach
- Oakland Park, FL
- NPI 1063207595
-
- General Acute Care Hospital
- Ft Lauderdale, FL
- NPI 1639197395
-
- General Acute Care Hospital
- Orlando, FL
- NPI 1184709057
-
- Rural Health Clinic/Center
- Arcadia, FL
- NPI 1730672379
-
- Surgery Physician
- Jacksonville, FL
- NPI 1588824858
Thoracic Surgery (Cardiothoracic Vascular Surgery)
-
- Physiological Laboratory
- Jacksonville, FL
- NPI 1831800952
-
- General Practice Physician
- Indianapolis, IN
- NPI 1902032832
-
- Internal Medicine Physician
- Indianapolis, IN
- NPI 1861441537
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Port Charlotte, FL
- NPI 1417901406
Hospital
-
- General Acute Care Hospital
- Bradenton, FL
- NPI 1114964244
Hospital
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.