NPIMap

Individual provider Active NPI

Antonina Louise Calcavecchio, D.O.

  • Family Medicine Physician
  • Rome, NY
National Provider Identifier
1124602453
Registry record updated Dec 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
328694 Issued in NY
Practice address
1617 N James St
Rome, NY 13440-2852
Phone
(315) 336-8260
NPI assigned
May 12, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0102209715 VA
Student in an Organized Health Care Education/Training Program 390200000X
Family Medicine Physician 207Q00000X 328694 NY Primary

Addresses

Primary practice location

1617 N James St
Rome, NY 13440-2852

Mailing address

111 Hospital Dr
Utica, NY 13502-2517

Other practice location 1

7401 Granby St
Norfolk, VA 23505-3406
Phone (757) 355-9925

Other names 1

  • Antonina Louise Calcavecchio Other name

Organizations & group practices 7

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 10

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
MVHS Inc 330 clinicians
Sentara Medical Group 1,396 clinicians

Practice addresses (Care Compare)

1617 N James St
Rome, NY 13440-2852
Phone (315) 336-8260

301 Riverview Ave
Suite 930
Norfolk, VA 23510-1068
Phone (757) 252-3236

Hospital & facility affiliations

  • Wynn Hospital Hospital, Utica, NY, CCN 330044
  • Rome Memorial Hospital, Inc Hospital, Rome, NY, CCN 330215
  • Sentara Leigh Hospital Hospital, Norfolk, VA, CCN 490046

Merit-based Incentive Payment System (MIPS)

Final score
85.28 of 100Reported as group
Quality
75.06
Promoting interoperability
100
Improvement activities
40
Cost
69.26

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, VA2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240618000237 NY Practitioner - Family Practice 2961891007 Reassigns benefits to 1 organization
I20251218000106 VA Practitioner - Family Practice 2961891007 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0102209715VAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
MVHS Inc Family Medicine CurrentSince Jul 1, 2024 Accepting new patients
MVHS Inc CurrentSince Jul 1, 2024 Accepting new patients
Sentara Medical Group Family Medicine CurrentSince Dec 1, 2025 Accepting new patients

Locations

1656 Champlin Ave
New Hartford, NY 13413
Phone (315) 624-6222

1617 N James St
Rome, NY 13440
Phone (315) 336-8260

1676 Sunset Ave
Utica, NY 13502
Phone (315) 624-5567

111 Hospital Dr
Utica, NY 13502
Phone (315) 801-8534

111 Hospital Dr
Rm 105
Utica, NY 13502

7401 Granby St
Norfolk, VA 23505
Phone (757) 355-9925

301 Riverview Ave
Ste 930
Norfolk, VA 23510
Phone (757) 252-3236

850 Kempsville Rd
Norfolk, VA 23502
Phone (757) 261-0162

Interoperability endpoints

  • Direct secure messaging: acalcavecchio156930@direct-guthrie.org
  • Direct secure messaging: acalcavecchio46432@mvhealthsystem.direct-ci.com

NPI Registry JSON

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

{
    "created_epoch": "1620777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765324800000",
    "number": "1124602453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 HOSPITAL DR",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135022517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1617 N JAMES ST",
            "city": "ROME",
            "state": "NY",
            "postal_code": "134402852",
            "telephone_number": "315-336-8260"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7401 Granby St",
            "address_purpose": "LOCATION",
            "city": "Norfolk",
            "state": "VA",
            "postal_code": "235053406",
            "country_code": "US",
            "telephone_number": "757-355-9925",
            "fax_number": "757-965-8519",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CALCAVECCHIO",
        "first_name": "ANTONINA",
        "middle_name": "LOUISE",
        "name_prefix": "Ms.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-12",
        "last_updated": "2025-12-10",
        "certification_date": "2025-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0102209715",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "328694",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANTONINA",
            "last_name": "CALCAVECCHIO",
            "middle_name": "LOUISE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Rome, NY

Sources for this page

Verify at the official NPI Registry.