Individual provider Active NPI

Shanna Michelle Calero, MD

  • Emergency Medicine Physician
  • El Paso, TX
National Provider Identifier
1003079666
Registry record updated Apr 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
P0557 Issued in TX
Practice address
2001 N Oregon St
El Paso, TX 79902-3320
Phone
(915) 577-6011
NPI assigned
Jul 3, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X P0557 TX Primary

Addresses

Primary practice location

2001 N Oregon St
El Paso, TX 79902-3320

Mailing address

200 Corporate Blvd
Lafayette, LA 70508-3870
Phone (800) 893-9698

Other identifiers 2

IdentifierTypeStateIssuer
287722711MedicaidTX
79922066MedicaidNM

Other names 1

  • Shanna Michelle Calero Gonzales Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20110915000532 TX Practitioner - Emergency Medicine 3870764202 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Texas a & M University System, HSC, College of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bluff Creek Emergency Medicine Associates, PAGroup PAC ID 1355605924, 79 clinicians

Practice addresses (Care Compare)

2001 N Oregon St
El Paso, TX 79902-3320
Phone (915) 577-6011

Hospital & facility affiliations

  • The Hospitals of Providence - East Campus Hospital, El Paso, TX, CCN 670047

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Bluff Creek Emergency Medicine Associates, PA Emergency Medicine CurrentSince Apr 3, 2018 Accepting new patients
Texas Tech University Health Sciences Center El Paso Emergency Medicine CurrentSince Jan 30, 2012 Accepting new patients
Questcare Medical Services, PLLC Emergency Medicine CurrentSince Nov 1, 2012 Accepting new patients
Texas Tech University Health Sciences Center El Paso CurrentSince Jan 30, 2012 Accepting new patients
Texas Tech University Health Sciences Center El Paso Current Accepting new patients
Questcare Medical Services PLLC Emergency Medicine CurrentSince Nov 1, 2012 Accepting new patients
Questcare Medical Services, PLLC Emergency Medicine Current Accepting new patients
Hospitalist Medicine Physicians of Texas - Houston, PLLC Emergency Medicine CurrentSince Apr 1, 2022 Accepting new patients
Emergency Care Providers PA Emergency Medicine Past Accepting new patients
Texas Tech University Health Sciences Center Odessa Past Accepting new patients

Locations

200 Corporate Blvd
Lafayette, LA 70508

3280 Joe Battle Blvd
El Paso, TX 79938
Phone (915) 577-6000

2001 N Oregon St
El Paso, TX 79902
Phone (915) 577-6011

1625 Medical Center Dr
El Paso, TX 79902
Phone (915) 577-7746

11380 Gateway Blvd N
Ste 105
El Paso, TX 79934
Phone (915) 577-8100

4801 Alberta Ave
El Paso, TX 79905
Phone (915) 215-5200

4815 Alameda Ave
El Paso, TX 79905
Phone (915) 215-6000

3640 Hampton Dr
Missouri City, TX 77459
Phone (281) 778-5144

3901 W 15th St
Plano, TX 75075
Phone (972) 519-1115

Interoperability endpoints

  • Direct secure messaging: shanna.calero@direct.myhealthep.org

Organizations & group practices 10

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.

Hospital & facility affiliations 1

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": "1215043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524787200000",
    "number": "1003079666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 CORPORATE BLVD",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705083870",
            "telephone_number": "800-893-9698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 N OREGON ST",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799023320",
            "telephone_number": "915-577-6011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALERO",
        "first_name": "SHANNA",
        "middle_name": "MICHELLE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-03",
        "last_updated": "2018-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "P0557",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "287722711",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "79922066",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHANNA",
            "last_name": "CALERO GONZALES",
            "middle_name": "MICHELLE",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.