Individual provider Active NPI

Anthony Michael Calabretta, M.D.

  • Surgery Physician
  • Wooster, OH
National Provider Identifier
1003106089
Registry record updated Jul 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
35128201 Issued in OH
Practice address
128 E Milltown Rd
Suite 101
Wooster, OH 44691-6109
Phone
(330) 287-2595
Fax
(330) 202-3487
NPI assigned
Apr 12, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 35128201 OH Primary

Addresses

Primary practice location

128 E Milltown Rd
Suite 101
Wooster, OH 44691-6109

Mailing address

1761 Beall Ave
Wooster, OH 44691-2342
Phone (440) 212-4541

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20160721001178 OH Practitioner - General SurgeryPractitioner - Critical Care (Intensivists)Practitioner - Pulmonary Disease 7618110271 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bloomington Medical Services LLCGroup PAC ID 9032297627, 106 clinicians

Practice addresses (Care Compare)

1761 Beall Ave
Wooster, OH 44691-2342
Phone (330) 263-8326

Hospital & facility affiliations

  • Wooster Community Hospital Hospital, Wooster, OH, CCN 360036

Merit-based Incentive Payment System (MIPS)

Final score
81.09 of 100Reported as group
Quality
59.24
Promoting interoperability
99
Improvement activities
40
Cost
78.55

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy34
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)1-10
Mastectomy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux24

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35128201OHMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bloomington Medical Services LLC CurrentSince Aug 1, 2016 Accepting new patients
City of Wooster Past Accepting new patients

Locations

1761 Beall Ave
Ste 102
Wooster, OH 44691
Phone (330) 287-2595

1761 Beall Ave
Wooster, OH 44691
Phone (330) 263-8100

128 E Milltown Rd
Ste 101
Wooster, OH 44691
Phone (330) 262-0081

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/9168/brand/1/csg/1/fhir/r4

Organizations & group practices 2

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": "1302566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469404800000",
    "number": "1003106089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1761 BEALL AVE",
            "city": "WOOSTER",
            "state": "OH",
            "postal_code": "446912342",
            "telephone_number": "440-212-4541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 E MILLTOWN RD",
            "address_2": "SUITE 101",
            "city": "WOOSTER",
            "state": "OH",
            "postal_code": "446916109",
            "telephone_number": "330-287-2595",
            "fax_number": "330-202-3487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALABRETTA",
        "first_name": "ANTHONY",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-04-12",
        "last_updated": "2016-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "OH",
            "license": "35128201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wooster, OH

Sources for this page

Verify at the official NPI Registry.