Individual provider Active NPI

Stanley Cal, MD

  • Infectious Disease Physician
  • Corpus Christi, TX
National Provider Identifier
1003846288
Registry record updated Jan 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
H2281 Issued in TX
Practice address
4918 Ayers St Ste 130
Corpus Christi, TX 78415-1431
Phone
(361) 400-4355
Fax
(888) 815-1095
NPI assigned
Jul 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X H2281 TX Primary

Addresses

Primary practice location

4918 Ayers St Ste 130
Corpus Christi, TX 78415-1431

Mailing address

6101 Blue Lagoon Dr Ste 200
Miami, FL 33126-3168
Phone (361) 400-4355

Other identifiers 1

IdentifierTypeStateIssuer
124173905MedicaidTX

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address SCal@conviva.eclinicaldirectplus.com
Direct Messaging Address stanley.cal@conviva.eclinicaldirectplus.com Direct

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
I20041119000914 TX Practitioner - Internal Medicine 3971568817 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
H2281TXMDInfectious Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Health and Human Services Commission CurrentSince Sep 1, 2017 Accepting new patients
Centerwell Senior Primary Care (SC) PC CurrentSince Aug 1, 2022 Accepting new patients
Conviva Medical Center Management of Texas, P.a. CurrentSince Aug 1, 2022 Accepting new patients

Locations

6101 Waterford District Dr
Ste 200
Miami, FL 33126
Phone (407) 533-6836

11640 US Highway 87 N
Carlsbad, TX 76934
Phone (325) 465-2312

4918 Ayers St
Ste 130
Corpus Christi, TX 78415
Phone (361) 400-4355

3980 State School Rd
Denton, TX 76210
Phone (940) 591-3341

260 US Highway 181 N
Floresville, TX 78114
Phone (830) 393-8222

1401 S Rangerville Rd
Harlingen, TX 78552
Phone (956) 364-8000

1401 S Rangerville Rd
#R
Harlingen, TX 78552
Phone (956) 364-8000

Interoperability endpoints

  • Direct secure messaging: stanley.cal.1@31077.direct.athenahealth.com
  • Direct secure messaging: scal@conviva.eclinicaldirectplus.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705017600000",
    "number": "1003846288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6101 BLUE LAGOON DR STE 200",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331263168",
            "telephone_number": "361-400-4355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4918 AYERS ST STE 130",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784151431",
            "telephone_number": "361-400-4355",
            "fax_number": "888-815-1095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAL",
        "first_name": "STANLEY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-04",
        "last_updated": "2024-01-12",
        "certification_date": "2024-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "TX",
            "license": "H2281",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "124173905",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "SCal@conviva.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "4918 Ayers St Ste 130",
            "city": "Corpus Christi",
            "state": "TX",
            "country_code": "US",
            "postal_code": "784151431",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "stanley.cal@conviva.eclinicaldirectplus.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4918 Ayers St Ste 130",
            "city": "Corpus Christi",
            "state": "TX",
            "country_code": "US",
            "postal_code": "784151431",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Corpus Christi, TX

Sources for this page

Verify at the official NPI Registry.