Individual provider Active NPI

R David McCallum, MD

  • Colon & Rectal Surgery Physician
  • Putnam, CT
National Provider Identifier
1124085691
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X
License
041494 Issued in CT
Practice address
346 Pomfret St
Putnam, CT 06260-1871
Phone
(860) 928-2552
Fax
(820) 928-0317
NPI assigned
Apr 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 041494 CT
Colon & Rectal Surgery Physician 208C00000X 041494 CT Primary

Addresses

Primary practice location

346 Pomfret St
Putnam, CT 06260-1871

Mailing address

346 Pomfret St
Putnam, CT 06260-1871
Phone (860) 928-2552

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20091008000623 CT Practitioner - General Surgery 0941346779 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Southern Illinois University School of Medicine, 1988
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1290 Silas Deane Hwy
Wethersfield, CT 06109

1290 Silas Deane Hwy
Wethersfield, CT 06109-4337

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.42 of 100Reported as group
Quality
83.36
Promoting interoperability
100
Improvement activities
40
Cost
75.9

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy12

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
041494CTMDColon & Rectal Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Day Kimball Medical Group Inc Surgery CurrentSince Jan 1, 2013 Accepting new patients
Rush Memorial Hospital Past Accepting new patients

Locations

132 Westminster Rd
Canterbury, CT 06331
Phone (860) 546-2225

612 Hartford Pike
Dayville, CT 06241
Phone (860) 779-0284

320 Pomfret St
Putnam, CT 06260
Phone (860) 963-6331

346 Pomfret St
Putnam, CT 06260
Phone (860) 928-0815

Interoperability endpoints

  • Direct secure messaging: david.mccallum@xdr.hhchealthdirect.org
  • FHIR API: https://api.platform.athenahealth.com/1694/brand/19/csg/48/fhir/r4

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.

Hospital & facility affiliations 1

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": "1146182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1124085691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "346 POMFRET ST",
            "city": "PUTNAM",
            "state": "CT",
            "postal_code": "062601871",
            "telephone_number": "860-928-2552",
            "fax_number": "820-928-0317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "346 POMFRET ST",
            "city": "PUTNAM",
            "state": "CT",
            "postal_code": "062601871",
            "telephone_number": "860-928-2552",
            "fax_number": "820-928-0317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCALLUM",
        "first_name": "R",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-28",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CT",
            "license": "041494",
            "primary": false
        },
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "CT",
            "license": "041494",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Putnam, CT

Sources for this page

Verify at the official NPI Registry.