Jonathan Calder, M.D.
Individual provider Active NPI Emergency Medicine Physician · Crownpoint, NM
NPI 1104856640 · NPPES record last updated Sep 11, 2017
Key facts
- NPI
- 1104856640
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- License
- M-12484 (ID)
- Practice address
- Junction Navajo Route 9, Highway 371
Crownpoint, NM 87313-0358 - Phone
- (505) 786-5291
- Fax
- (505) 786-6440
- NPI assigned
- Jul 3, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 24
Hospital & facility affiliations 7
Medicare Care Compare profile
- Specialty
- Emergency Medicine
- Education
- University of Wisconsin School of Medicine, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Cep America LLC
Practice addresses (Care Compare)
1055 N Curtis Rd
Boise, ID 83706-1309
Phone (208) 367-2121
Hospital & facility affiliations
- Saint Alphonsus Regional Medical Center
- Saint Alphonsus Medical Center - Nampa
- Saint Alphonsus Medical Center Ontario
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.3 of 100
- Quality
- 70.94
- Improvement activities
- 40
- Cost
- 92.94
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (3 enrollments) in CA, ID, OR
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090602000513 | CA | Practitioner - Emergency Medicine |
4789734302 | Reassigns benefits to 1 organization |
| I20140923002104 | ID | Practitioner - Emergency Medicine |
4789734302 | Reassigns benefits to 1 organization |
| I20170921002320 | OR | Practitioner - Emergency Medicine | 4789734302 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C53578 | CA | MD | Emergency Medicine Physician |
| MD181900 | OR | MD | Emergency Medicine Physician |
| NM-2001-146 | NM | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cep America, LLC | Emergency Medicine | Current | Accepting new patients |
| Cep America LLC | Emergency Medicine | Current | Accepting new patients |
| Cep America-California | Emergency Medicine | Current |
Accepting new patients |
| Cep America - California | Emergency Medicine | Current |
Accepting new patients |
| Cep America - California | Emergency Medicine | Current | Accepting new patients |
| Cep America, LLC | Emergency Medicine | Current |
Accepting new patients |
| Cep America LLC | Emergency Medicine | Current |
Accepting new patients |
| Cep America LLC | Emergency Medicine | Current |
Accepting new patients |
Locations
6501 Coyle Ave
Carmichael, CA 95608
Phone (916) 537-5000
2100 Powell St
Ste 900
Emeryville, CA 94608
Phone (510) 350-2777
2700 Dolbeer St
Eureka, CA 95501
Phone (707) 269-4229
3300 Renner Dr
Fortuna, CA 95540
Phone (707) 725-3361
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423
4445 Magnolia Ave
Riverside, CA 92501
Phone (800) 498-7156
1 Medical Plaza Dr
Roseville, CA 95661
Phone (916) 781-1000
1055 N Curtis Rd
Boise, ID 83706
Phone (208) 367-2152
4300 E Flamingo Ave
Nampa, ID 83687
Phone (208) 205-1000
2700 NW Stewart Pkwy
Roseburg, OR 97471
Phone (541) 673-0611
Interoperability endpoints
- jcalder1563878@direct.trinity-health.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | C53578 | CA | |
| Emergency Medicine Physician | 207P00000X | MD181900 | OR | |
| Family Medicine Physician | 207Q00000X | NM-2001-146 | NM | |
| Emergency Medicine Physician | 207P00000X | M-12484 | ID | Yes |
Addresses
Primary practice location
Junction Navajo Route 9, Highway 371
Crownpoint, NM 87313-0358
Mailing address
PO Box 358
Crownpoint, NM 87313-0358
Phone (505) 786-5291
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 84377801 | Medicaid | NM |
Other providers in Crownpoint, NM
- Jennifer L. Becenti
- Aurelia Begay-Harlan
- Dustin Begay
- Le Vonne K Biakeddy
- Antoine Bondima
- Karen Deneen Carlisle
- Lynn Carsten
- Meghan Casey
- Vicky Charley
- Jay Janghee Cho
All providers in Crownpoint, NM · Emergency Medicine Physician in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 11, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.