Active NPI
Jonathan Christian Calkwood, M.D.
- Neurology Physician
- Golden Valley, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 48347
- Practice address
- 4225 Golden Valley Rd
Golden Valley, MN 55422-4215 - Phone
- (763) 302-4199
- Fax
- (763) 302-4218
- NPI assigned
- Jun 7, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 48347 | MN | Primary |
Addresses
Primary practice location
4225 Golden Valley Rd
Golden Valley, MN 55422-4215
Mailing address
4225 Golden Valley Rd
Golden Valley, MN 55422-4215
Phone (763) 588-0661
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| HP60188 | Other | MN | HEALTHPARTNERS |
| P00321919 | Other | MN | RAILROAD MEDICARE |
| 182526C029 | Other | UCARE | |
| 2436378 | Other | MN | AMERICA'S PPO |
| 099H7CA | Other | MN | BCBS OF MN |
| 1046269 | Other | MN | PREFERRED ONE |
| 1194765388 | Medicaid | MN | |
| 0500770 | Other | MN | MEDICA |
Other names 1
- Jonathan Christian Calk
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jcalkwood167938@direct.northmemorial.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Neurology
- Education
- University of Texas Medical School at Houston, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
15700 37TH Ave N
Suite 110
Plymouth, MN 55446-3399
Phone (763) 577-0008
Hospital & facility affiliations
- Riverwood Healthcare Center
- M Health Fairview University of MN Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 48347 | MN | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Midwest Immunology Clinics, PLLC | Neurology | Current | Accepting new patients |
Locations
15700 37th Ave N
Ste 250
Minneapolis, MN 55446
15655 37th Ave N
Ste 260
Plymouth, MN 55446
Phone (763) 316-0750
15700 37th Ave N
Ste 110
Plymouth, MN 55446
Phone (763) 577-0008
15655 37th Ave N
Ste 250
Plymouth, MN 55446
Phone (763) 316-0750
652 Bielenberg Dr
Ste 101
Woodbury, MN 55125
Phone (651) 867-1618
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- jonathan.calkwood.p1@direct.micms.nextgenshare.com
Organizations & group practices 1
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.
-
- Allergy & Immunology Physician
- Plymouth, MN
- NPI 1457417933
Neurology
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Aitkin, MN
- NPI 1942277835
-
- General Acute Care Hospital
- Minneapolis, MN
- NPI 1013994359
-
- General Acute Care Hospital
- Minneapolis, MN
- NPI 1316008212
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149638400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1652745600000",
"number": "1194765388",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4225 GOLDEN VALLEY RD",
"city": "GOLDEN VALLEY",
"state": "MN",
"postal_code": "554224215",
"telephone_number": "763-588-0661",
"fax_number": "763-287-2310"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4225 GOLDEN VALLEY RD",
"city": "GOLDEN VALLEY",
"state": "MN",
"postal_code": "554224215",
"telephone_number": "763-302-4199",
"fax_number": "763-302-4218"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CALKWOOD",
"first_name": "JONATHAN",
"middle_name": "CHRISTIAN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-07",
"last_updated": "2022-05-17",
"certification_date": "2022-05-17",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "MN",
"license": "48347",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHPARTNERS",
"identifier": "HP60188",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00321919",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UCARE",
"identifier": "182526C029",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICA'S PPO",
"identifier": "2436378",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF MN",
"identifier": "099H7CA",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED ONE",
"identifier": "1046269",
"state": "MN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1194765388",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICA",
"identifier": "0500770",
"state": "MN"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jcalkwood167938@direct.northmemorial.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CDA/CCD/TXT",
"address_1": "4225 Golden Valley Rd",
"city": "Golden Valley",
"state": "MN",
"country_code": "US",
"postal_code": "554224215",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "JONATHAN",
"last_name": "CALK",
"middle_name": "CHRISTIAN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Golden Valley, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2022; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.