Thomas F Caldwell, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

036-107296 Issued in IL

Practice address

3035 East Mound Road
Decatur, IL 62526-9381

Phone

(217) 875-2670

Fax

(217) 875-2689

NPI assigned

Jun 28, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in ID

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Department of Veterans Affairs

  • VA Clinic/Center
  • Decatur, IL
  • NPI 1538398656
  NPD (past)
• Veteran'S Administration

  • Federally Qualified Health Center (FQHC)
  • Decatur, IL
  • NPI 1043323793
  NPD (past)

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

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216339200000",
    "number": "1144258492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3035 EAST MOUND ROAD",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "625269381",
            "telephone_number": "217-875-2670",
            "fax_number": "217-875-2689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3035 EAST MOUND ROAD",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "625269381",
            "telephone_number": "217-875-2670",
            "fax_number": "217-875-2689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALDWELL",
        "first_name": "THOMAS",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-28",
        "last_updated": "2008-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036-107296",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036107296",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kathy Butler, LCPC
• Megan A Byers, ACNPC-AG
• Adrian Marie Byrd, LCSW
• Gretchen L Byrkit, MD
• Luis J Caceres, M.D.
• Ian Calhoun
• Michelle S Calitis, PT
• Debra E Campbell, MSN, CNM
• Elizabeth A Campbell, NP
• Cancer Care Specialists of Central Illinois, S.C

• Family Medicine Physician in Decatur, IL
• Providers in Decatur, IL by specialty
• Family Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.