Organization Active NPI

Henry Calas M.D. P.a.

  • Neurology Physician
  • Stuart, FL
National Provider Identifier
1184947558
Registry record updated Mar 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
Legal business name
HENRY CALAS M.D. P.A.
Practice address
827 SE 5TH St
Stuart, FL 34994-2401
Phone
(772) 223-5345
Fax
(772) 223-0960
NPI assigned
Mar 12, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2010

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

Authorized official

Name
Dr. Henry Calas, M.D. P.A.NPI 1871507269
Title
President
Phone
(772) 223-5345

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X Primary

Addresses

Primary practice location

827 SE 5TH St
Stuart, FL 34994-2401

Mailing address

827 SE 5TH St
Stuart, FL 34994-2401
Phone (772) 223-5345

Other identifiers 1

IdentifierTypeStateIssuer
377712000MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100421000328 FL Part B Supplier - Clinic/Group Practice 9032246194 Receives reassigned benefits from 1 practitioner
Practice locations: Stuart, FL

National Provider Directory

National Provider Directory

Locations

827 SE 5th St
Stuart, FL 34994
Phone (407) 223-5345

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1268352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268352000000",
    "number": "1184947558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "827 SE 5TH ST",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349942401",
            "telephone_number": "772-223-5345",
            "fax_number": "772-223-0960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "827 SE 5TH ST",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349942401",
            "telephone_number": "772-223-5345",
            "fax_number": "772-223-0960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HENRY CALAS M.D. P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-12",
        "last_updated": "2010-03-12",
        "status": "A",
        "authorized_official_last_name": "CALAS",
        "authorized_official_first_name": "HENRY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "772-223-5345",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D.  P.A."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "377712000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stuart, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.