Individual provider Active NPI

Dylan M Caldwell, MD

  • Emergency Medicine Physician
  • Naples, FL
National Provider Identifier
1053395715
Registry record updated Feb 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
ME80596 Issued in FL
Practice address
200 Aviation Dr N Ste 9
Naples, FL 34104-3501
Phone
(239) 206-8885
Fax
(239) 842-1213
NPI assigned
Dec 5, 2005
Last updated
Feb 15, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X ME80596 FL Primary

Addresses

Primary practice location

200 Aviation Dr N Ste 9
Naples, FL 34104-3501

Mailing address

3581 1St Ave NW
Naples, FL 34120-2707
Phone (239) 537-2318

Other practice location 1

100 E Sample Rd Ste 330
Pompano Beach, FL 33064-3554
Phone (954) 271-2410

Other identifiers 2

IdentifierTypeStateIssuer
261410300MedicaidFL
58881OtherFLBCBS

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
I20101005000238 FL Practitioner - Emergency Medicine 1153513528 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Florida Emergency Management LLC Emergency Medicine CurrentSince Jan 1, 2012 Accepting new patients
Naples Emergency Physicians LLC Emergency Medicine Past Accepting new patients

Locations

350 7th St N
Naples, FL 34102
Phone (239) 436-5000

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1133740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676419200000",
    "number": "1053395715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3581 1ST AVE NW",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341202707",
            "telephone_number": "239-537-2318",
            "fax_number": "239-842-1213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 AVIATION DR N STE 9",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341043501",
            "telephone_number": "239-206-8885",
            "fax_number": "239-842-1213"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 E Sample Rd Ste 330",
            "address_purpose": "LOCATION",
            "city": "Pompano Beach",
            "state": "FL",
            "postal_code": "330643554",
            "country_code": "US",
            "telephone_number": "954-271-2410",
            "fax_number": "954-283-0068",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CALDWELL",
        "first_name": "DYLAN",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-05",
        "last_updated": "2023-02-15",
        "certification_date": "2023-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "ME80596",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "261410300",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "58881",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

Verify at the official NPI Registry.