Individual provider Active NPI

Vincent August Caldarola, M.D.

  • Specialist
  • San Antonio, TX
National Provider Identifier
1124043591
Registry record updated Apr 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
G1345 Issued in TX
Practice address
4499 Medical Dr
Suite 250
San Antonio, TX 78229-3735
Phone
(210) 614-3565
Fax
(210) 614-3563
NPI assigned
Jul 13, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 30, 2013

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X G1345 TX Primary
Surgery Physician 208600000X G1345 TX
Colon & Rectal Surgery Physician 208C00000X G1345 TX

Addresses

Primary practice location

4499 Medical Dr
Suite 250
San Antonio, TX 78229-3735

Mailing address

4499 Medical Drive
Suite 250
San Antonio, TX 78229
Phone (210) 614-3565

Other identifiers 1

IdentifierTypeStateIssuer
096562601MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20090112000292 TX Practitioner - Colorectal Surgery (Proctology)Practitioner - General Surgery 0648228171 Reassigns benefits to 1 organization
Practice locations: San Antonio, TX

Care Compare profile

Medicare Care Compare
Specialty
Colorectal Surgery (Proctology)Also: General Surgery
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

497 10TH St
Floresville, TX 78114-3179
Phone (210) 614-3565

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy45
Hernia repair (minimally invasive)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G1345TXMDColon & Rectal Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
VR Surgical Associates PA Surgery CurrentSince Sep 17, 2013 Accepting new patients
Vincent a Caldarola Surgery PastSince Jan 1, 1990 Accepting new patients

Locations

497 10th St
Floresville, TX 78114
Phone (210) 614-3565

497 10th St
#A
Floresville, TX 78114
Phone (210) 614-3565

4499 Medical Dr
Ste 250
San Antonio, TX 78229
Phone (210) 575-0509

Interoperability endpoints

  • Direct secure messaging: vincentcaldarola@vrsapa.allscriptsdirect.net

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367280000000",
    "number": "1124043591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4499 MEDICAL DRIVE",
            "address_2": "SUITE 250",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78229",
            "telephone_number": "210-614-3565",
            "fax_number": "210-614-3563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4499 MEDICAL DR",
            "address_2": "SUITE 250",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293735",
            "telephone_number": "210-614-3565",
            "fax_number": "210-614-3563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALDAROLA",
        "first_name": "VINCENT",
        "middle_name": "AUGUST",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-13",
        "last_updated": "2013-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "G1345",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "G1345",
            "primary": false
        },
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "TX",
            "license": "G1345",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "096562601",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.