Individual provider Active NPI

Barbara Calderon-Vizcarrondo, MD

  • Geriatric Medicine (Internal Medicine) Physician
  • Tampa, FL
National Provider Identifier
1104050640
Registry record updated Mar 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
18202 Issued in PR
Practice address
8521 N Armenia Ave
Tampa, FL 33604-2540
Phone
(813) 932-0996
Fax
(813) 932-0266
NPI assigned
May 13, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X 18202 PR Primary

Addresses

Primary practice location

8521 N Armenia Ave
Tampa, FL 33604-2540

Mailing address

8521 N Armenia Ave
Tampa, FL 33604-2540
Phone (813) 932-0996

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR, FL2 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
I20140109000420 PR Practitioner - Internal MedicinePractitioner - Geriatric Medicine 5890923254 Practice locations: Juana Diaz, PR
I20140325001078 FL Practitioner - Internal MedicinePractitioner - Geriatric Medicine 5890923254 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Geriatric Medicine
Education
University Central del Caribe Escuela de Medicina, 2009
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Millennium Physician Group LLCGroup PAC ID 9830244433, 976 clinicians
Verimed Health Group Land O Lakes LLCGroup PAC ID 4082997796, 3 clinicians
Verimed Health Group Carrollwood LLCGroup PAC ID 5890886667, 2 clinicians

Practice addresses (Care Compare)

19531 Cochran Blvd
Port Charlotte, FL 33948-2081
Phone (941) 255-3535

2674 Stonewood Park Loop
Land O Lakes, FL 34638-6210
Phone (813) 909-0760

8521 N Armenia Ave
Tampa, FL 33604-2540
Phone (813) 932-0996

Hospital & facility affiliations

  • St Josephs Hospital Hospital, Tampa, FL, CCN 100075
  • Adventhealth Tampa Hospital, Tampa, FL, CCN 100173
  • The Bristol Care Center Nursing home, Tampa, FL, CCN 105140
  • Luxe at Lutz Rehabilitation Center (the) Nursing home, Lutz, FL, CCN 106093

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Verimed Health Group Land O' Lakes, LLC Geriatric Medicine CurrentSince Jul 14, 2016 Accepting new patients
Millennium Physician Group LLC CurrentSince Feb 1, 2026 Accepting new patients
Primecare Medical Group LLC CurrentSince Feb 1, 2014 Accepting new patients
Millennium Physician Group LLC CurrentSince Feb 1, 2026 Accepting new patients
Verimed Health Group Carrollwood, LLC CurrentSince Feb 1, 2014 Accepting new patients
Servicios Medicos Universitarios Past Accepting new patients

Locations

2674 Stonewood Park Loop
Land O Lakes, FL 34638
Phone (813) 909-0760

2638 Narnia Way
Unit 101
Land O Lakes, FL 34638
Phone (813) 528-8000

19531 Cochran Blvd
Pt Charlotte, FL 33948
Phone (941) 255-3535

8521 N Armenia Ave
Tampa, FL 33604
Phone (813) 932-0996

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Organizations & group practices 6

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 6

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": "1242172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393804800000",
    "number": "1104050640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8521 N ARMENIA AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336042540",
            "telephone_number": "813-932-0996",
            "fax_number": "813-932-0266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8521 N ARMENIA AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336042540",
            "telephone_number": "813-932-0996",
            "fax_number": "813-932-0266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALDERON-VIZCARRONDO",
        "first_name": "BARBARA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-13",
        "last_updated": "2014-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "PR",
            "license": "18202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.