Individual provider Active NPI

Robert D Caldemeyer, MD

  • Family Medicine Physician
  • Cincinnati, OH
National Provider Identifier
1013924851
Registry record updated Sep 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35051718 Issued in OH
Practice address
24 Compton Road
Suite 205
Cincinnati, OH 45216
Phone
(513) 761-2776
Fax
(513) 679-4866
NPI assigned
Aug 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 35051718 OH Primary

Addresses

Primary practice location

24 Compton Road
Suite 205
Cincinnati, OH 45216

Mailing address

24 Compton Road
Suite 205
Cincinnati, OH 45216
Phone (513) 761-2776

Other identifiers 2

IdentifierTypeStateIssuer
7100101620MedicaidKY
0605401MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35051718OHMDFamily Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1154476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315267200000",
    "number": "1013924851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 COMPTON ROAD",
            "address_2": "SUITE 205",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "45216",
            "telephone_number": "513-761-2776",
            "fax_number": "513-679-4866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 COMPTON ROAD",
            "address_2": "SUITE 205",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "45216",
            "telephone_number": "513-761-2776",
            "fax_number": "513-679-4866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALDEMEYER",
        "first_name": "ROBERT",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-02",
        "last_updated": "2011-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35051718",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100101620",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0605401",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.