Individual provider Active NPI

Vito J Calandro II, MD

  • Cardiovascular Disease Physician
  • Parker, CO
National Provider Identifier
1093891269
Registry record updated Apr 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
41133 Issued in CO
Practice address
10345 Parkglenn Way Ste G100
Parker, CO 80138-3884
Phone
(303) 778-1171
Fax
(303) 778-1674
NPI assigned
Oct 31, 2006
Last updated
Apr 26, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X C8420 AR
Cardiovascular Disease Physician 207RC0000X 41133 CO Primary

Addresses

Primary practice location

10345 Parkglenn Way Ste G100
Parker, CO 80138-3884

Mailing address

PO Box 1848
Mena, AR 71953-1841
Phone (479) 437-3449

Other practice location 1

136 Health Park Dr
Mena, AR 71953-9072
Phone (888) 710-8220

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, AR2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040524001232 CO Practitioner - Internal MedicinePractitioner - Cardiovascular Disease (Cardiology) 3072401967
I20170112000421 AR Practitioner - Cardiovascular Disease (Cardiology) 3072401967 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C8420ARMDCardiovascular Disease Physician
41133COMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Healthy Connections, Inc Current Accepting new patients
Healthy Connections Incorporated Current Accepting new patients
Healthy Connections Inc CurrentSince Dec 1, 2016 Accepting new patients
Schryver Medical Sales and Marketing Inc. Past Accepting new patients
New Schryver LLC Past Accepting new patients

Locations

208 McAuley Ct
Ste B
Hot Springs, AR 71913

1100 N University Ave
Ste 200
Little Rock, AR 72207
Phone (501) 209-4040

136 Health Park Dr
Mena, AR 71953
Phone (501) 624-7700

534 Luzerne St
Mount Ida, AR 71957
Phone (870) 867-4244

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, 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": "1162252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650931200000",
    "number": "1093891269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1848",
            "city": "MENA",
            "state": "AR",
            "postal_code": "719531841",
            "telephone_number": "479-437-3449",
            "fax_number": "479-243-0285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10345 PARKGLENN WAY STE G100",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801383884",
            "telephone_number": "303-778-1171",
            "fax_number": "303-778-1674"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "136 Health Park Dr",
            "address_purpose": "LOCATION",
            "city": "Mena",
            "state": "AR",
            "postal_code": "719539072",
            "country_code": "US",
            "telephone_number": "888-710-8220",
            "fax_number": "479-243-0285",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CALANDRO",
        "first_name": "VITO",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-31",
        "last_updated": "2022-04-26",
        "certification_date": "2022-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "AR",
            "license": "C8420",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CO",
            "license": "41133",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Parker, CO

Sources for this page

Verify at the official NPI Registry.