NPIMap

Individual provider Active NPI

Calvin Keith Craig, MD

  • Cardiovascular Disease Physician
  • Sedro Woolley, WA
National Provider Identifier
1043732415
Registry record updated May 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
MD61343735 Issued in WA
Practice address
1990 Hospital Dr Ste 100
Sedro Woolley, WA 98284-9315
Phone
(360) 856-8800
Fax
(360) 714-2522
NPI assigned
Jul 7, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 16, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD61343735 WA
Nuclear Cardiology Physician 207UN0901X MD61343735 WA
Student in an Organized Health Care Education/Training Program 390200000X MA
Cardiovascular Disease Physician 207RC0000X MD61343735 WA Primary

Addresses

Primary practice location

1990 Hospital Dr Ste 100
Sedro Woolley, WA 98284-9315

Mailing address

Baystate Medical Center 759 Chestnut St
Springfield, MA 01199-0001
Phone (413) 794-0000

Other practice location 1

2979 Squalicum Pkwy Ste 101
Bellingham, WA 98225-1813
Phone (360) 734-2700

Other practice location 2

Baystate Medical Center 759 Chestnut Street
Springfield, MA 01199
Phone (413) 794-0000

Other practice location 3

2901 Squalicum Pkwy
Bellingham, WA 98225-1851
Phone (360) 738-2200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230606001777 WA Practitioner - Internal MedicinePractitioner - Cardiovascular Disease (Cardiology)Practitioner - Nuclear Medicine 9830460906 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Cardiovascular Disease (Cardiology), Nuclear Medicine
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Peacehealth Medical Group - Sedro WoolleyGroup PAC ID 1456584036, 55 clinicians
Mt Baker Imaging LLCGroup PAC ID 7113963802, 34 clinicians
PeacehealthGroup PAC ID 9537073960, 292 clinicians

Practice addresses (Care Compare)

1990 Hospital Dr
Suite 100
Sedro Woolley, WA 98284-9315
Phone (360) 856-4141

2930 Squalicum Pkwy
Suite 101
Bellingham, WA 98225-1854
Phone (360) 733-0430

2979 Squalicum Pkwy
Suite 101
Bellingham, WA 98225-1813
Phone (360) 756-6800

Hospital & facility affiliations

  • Peacehealth St Joseph Medical Center Hospital, Bellingham, WA, CCN 500030
  • Peacehealth United General Medical Center Hospital, Sedro Woolley, WA, CCN 501329
  • Peacehealth Peace Island Medical Center Hospital, Friday Harbor, WA, CCN 501340
  • Skagit Valley Hospital Hospital, Mount Vernon, WA, CCN 500003
  • Island Hospital Hospital, Anacortes, WA, CCN 500007

Merit-based Incentive Payment System (MIPS)

Final score
88.96 of 100Reported as group
Quality
87.73
Promoting interoperability
100
Improvement activities
40
Cost
75.49

Merit-based Incentive Payment System (MIPS)

Final score
87.4 of 100Reported as group
Quality
77.09
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
62 of 100Reported as group
Quality
80
Improvement activities
40
Cost
10

Merit-based Incentive Payment System (MIPS)

Final score
88.81 of 100Reported as group
Quality
86.48
Promoting interoperability
100
Improvement activities
40
Cost
76.22

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Peacehealth CurrentSince Jul 15, 2023 Accepting new patients
Peacehealth Medical Group - Sedro Woolley CurrentSince Jul 15, 2023 Accepting new patients
Mt Baker Imaging LLC CurrentSince Mar 1, 2024 Accepting new patients
Peacehealth Internal Medicine CurrentSince Jul 15, 2023 Accepting new patients
Northwest Radiologists Inc PS Past Accepting new patients

Locations

2930 Squalicum Pkwy
Ste 101
Bellingham, WA 98225
Phone (360) 733-0890

2979 Squalicum Pkwy
Ste 101
Bellingham, WA 98225
Phone (360) 788-6934

3015 Squalicum Pkwy
Ste 100
Bellingham, WA 98225
Phone (360) 715-4186

4029 Northwest Ave
Ste 201
Bellingham, WA 98226

2901 Squalicum Pkwy
Bellingham, WA 98225
Phone (360) 734-5400

3015 Squalicum Pkwy
Ste 200
Bellingham, WA 98225
Phone (360) 733-2092

835 E Fairhaven Ave
Burlington, WA 98233
Phone (360) 755-0641

1990 Hospital Dr
Ste 100
Sedro Woolley, WA 98284
Phone (360) 856-4141

Networks

  • devoted network organization-83621310-88c0-4660-8f8d-b8ea8f4dc04e
  • WA PPO C-SNP

Interoperability endpoints

  • Direct secure messaging: ccraig619140@direct.peacehealth.org

Organizations & group practices 5

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": "1499385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684195200000",
    "number": "1043732415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "BAYSTATE MEDICAL CENTER 759 CHESTNUT ST",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011990001",
            "telephone_number": "413-794-0000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1990 HOSPITAL DR STE 100",
            "city": "SEDRO WOOLLEY",
            "state": "WA",
            "postal_code": "982849315",
            "telephone_number": "360-856-8800",
            "fax_number": "360-714-2522"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2979 Squalicum Pkwy Ste 101",
            "address_purpose": "LOCATION",
            "city": "Bellingham",
            "state": "WA",
            "postal_code": "982251813",
            "country_code": "US",
            "telephone_number": "360-734-2700",
            "fax_number": "360-734-8362",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "Baystate Medical Center 759 Chestnut Street",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "MA",
            "postal_code": "01199",
            "country_code": "US",
            "telephone_number": "413-794-0000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2901 Squalicum Pkwy",
            "address_purpose": "LOCATION",
            "city": "Bellingham",
            "state": "WA",
            "postal_code": "982251851",
            "country_code": "US",
            "telephone_number": "360-738-2200",
            "fax_number": "360-752-5683",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CRAIG",
        "first_name": "CALVIN",
        "middle_name": "KEITH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-07-07",
        "last_updated": "2023-05-16",
        "certification_date": "2023-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WA",
            "license": "MD61343735",
            "primary": false
        },
        {
            "code": "207UN0901X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine, Nuclear Cardiology",
            "state": "WA",
            "license": "MD61343735",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "MA",
            "license": null,
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "WA",
            "license": "MD61343735",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sedro Woolley, WA

Sources for this page

Verify at the official NPI Registry.