Individual provider Active NPI

Robert Calaluce, MD

  • General Practice Physician
  • Columbia, MO
National Provider Identifier
1235648551
Registry record updated Sep 29, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
106793 Issued in MO
Practice address
140 Walter Williams Hall
Columbia, MO 65211-1200
Phone
(573) 882-4204
Fax
(573) 882-4204
NPI assigned
Sep 29, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 29, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 106793 MO Primary

Addresses

Primary practice location

140 Walter Williams Hall
Columbia, MO 65211-1200

Mailing address

1421 Kent Rd
Mexico, MO 65265-1142
Phone (573) 253-9581

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20180803000708 MO Practitioner - General Practice 9739437997 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Renova Medical Center, LLC General Practice CurrentSince Jun 28, 2018 Accepting new patients
Rose Family Chiropractic LLC Past Accepting new patients

Locations

1401 Forum Blvd
Ste 202
Columbia, MO 65203
Phone (573) 234-1367

503 E Nifong Blvd
Ste 102
Columbia, MO 65201

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1506643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1506643200000",
    "number": "1235648551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1421 KENT RD",
            "city": "MEXICO",
            "state": "MO",
            "postal_code": "652651142",
            "telephone_number": "573-253-9581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 WALTER WILLIAMS HALL",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652111200",
            "telephone_number": "573-882-4204",
            "fax_number": "573-882-4204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALALUCE",
        "first_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-09-29",
        "last_updated": "2017-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "MO",
            "license": "106793",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MO

Sources for this page

Verify at the official NPI Registry.