Individual provider Active NPI

Nahomy Calixte, MD

  • Urology Physician
  • Clermont, FL
National Provider Identifier
1033401625
Registry record updated Sep 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
ME127480 Issued in FL
Practice address
16966 Cagan Ridge Blvd
Clermont, FL 34714-9656
Phone
(352) 536-8761
Fax
(352) 536-8768
NPI assigned
May 14, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X ME127480 FL Primary

Addresses

Primary practice location

16966 Cagan Ridge Blvd
Clermont, FL 34714-9656

Mailing address

16966 Cagan Ridge Blvd
Clermont, FL 34714-9656
Phone (352) 536-8761

Other identifiers 1

IdentifierTypeStateIssuer
017585500MedicaidFL

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160712000136 FL Practitioner - Urology 2567754690 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Boston University School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orlando Health Medical Group IncGroup PAC ID 9537059084, 2,171 clinicians

Practice addresses (Care Compare)

1920 Don Wickham Dr
Clermont, FL 34711-1918
Phone (407) 351-5384

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection17
Removal of tissue1-10
Removal of skin lesions1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Orlando Health Medical Group Inc CurrentSince Sep 1, 2020 Accepting new patients
Orlando Health, Inc. Current Accepting new patients
Orlando Health Medical Group Inc Urology CurrentSince Sep 1, 2020 Accepting new patients

Locations

2080 Oakley Seaver Dr
Clermont, FL 34711
Phone (352) 241-7275

1920 Don Wickham Dr
Ste 130
Clermont, FL 34711
Phone (352) 243-9709

1920 Don Wickham Dr
Clermont, FL 34711
Phone (352) 243-5891

1900 Don Wickham Dr
Clermont, FL 34711
Phone (352) 536-8761

16966 Cagan Ridge Blvd
Clermont, FL 34714
Phone (352) 536-8761

32 W Gore St
Orlando, FL 32806
Phone (321) 841-3820

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: ncalixte27355@orlandohealth.medalliesdirect.net

Organizations & group practices 3

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 7

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": "1305331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600992000000",
    "number": "1033401625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16966 CAGAN RIDGE BLVD",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347149656",
            "telephone_number": "352-536-8761",
            "fax_number": "352-536-8768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16966 CAGAN RIDGE BLVD",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347149656",
            "telephone_number": "352-536-8761",
            "fax_number": "352-536-8768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALIXTE",
        "first_name": "NAHOMY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-14",
        "last_updated": "2020-09-25",
        "certification_date": "2020-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "FL",
            "license": "ME127480",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "017585500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clermont, FL

Sources for this page

Verify at the official NPI Registry.