Active NPI
Juan Calisto, MD
- Pediatric Surgery Physician
- Miami, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Surgery Physician
- License
- 132498
- Practice address
- 3200 SW 60TH CT Ste 201
Miami, FL 33155-4070 - Phone
- (305) 662-8220
- Fax
- (305) 665-2467
- NPI assigned
- May 27, 2009
- Last updated
- Mar 17, 2018
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 27042 | OK | |
| Surgical Critical Care Physician | 2086S0102X | 132498 | FL | |
| Pediatric Surgery Physician | 2086S0120X | 132498 | FL | Primary |
Addresses
Primary practice location
3200 SW 60TH CT Ste 201
Miami, FL 33155-4070
Mailing address
3200 SW 60TH CT
Suite #201
Miami, FL 33155-4000
Phone (305) 662-8320
Other practice location 1
920 Sl Young Blvd
WP 2140
Oklahoma City, OK 73104-5033
Phone (405) 271-6308
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- 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
- General Surgery
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3200 SW 60TH CT
Suite 201
Miami, FL 33155-4070
Phone (305) 662-8320
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 27042 | OK | MD | Surgery Physician |
| 132498 | FL | MD | Surgical Critical Care Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Miami Associates in Pediatric Surgery PA | Past | Accepting new patients | |
| Nicklaus Children's Pediatric Specialists, LLC | Past | Accepting new patients |
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/9d02172d-d861-4f2f-87b5-3b1c5ad61f32/
- juan.luis.calisto.aguirre.1@240.direct.athenahealth.com
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.
-
- General Practice Physician
- Miami, FL
- NPI 1558425090
-
dba Nicklaus Children's Pediatric Specialists - Emergency Medicine
- Pediatric Emergency Medicine (Pediatrics) Physician
- Miami, FL
- NPI 1588063176
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1243382400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1245465863",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3200 SW 60TH CT",
"address_2": "SUITE #201",
"city": "MIAMI",
"state": "FL",
"postal_code": "331554000",
"telephone_number": "305-662-8320",
"fax_number": "305-665-2467"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3200 SW 60TH CT STE 201",
"city": "MIAMI",
"state": "FL",
"postal_code": "331554070",
"telephone_number": "305-662-8220",
"fax_number": "305-665-2467"
}
],
"practiceLocations": [
{
"address_1": "920 Sl Young Blvd",
"address_2": "WP 2140",
"address_purpose": "LOCATION",
"city": "Oklahoma City",
"state": "OK",
"postal_code": "731045033",
"country_code": "US",
"telephone_number": "405-271-6308",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CALISTO",
"first_name": "JUAN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-05-27",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "OK",
"license": "27042",
"primary": false
},
{
"code": "2086S0102X",
"taxonomy_group": "",
"desc": "Surgery, Surgical Critical Care",
"state": "FL",
"license": "132498",
"primary": false
},
{
"code": "2086S0120X",
"taxonomy_group": "",
"desc": "Surgery, Pediatric Surgery",
"state": "FL",
"license": "132498",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Miami, FL
- Patricia Christine Calhoun, ARNP
- Caliber Healthcare LLC (Medical Record Services LLC)
- Ivonne Calidonio
- California Medical Supply, Inc.
- Calikos Xray Diagnostic Services
- Julia Waleska Calix Maradiaga
- Geyhssel Calix
- Fatima Calixte, PHARMD
- Calixto Alfonso Jr, D.C., P.a.
- Nicole Calixto-Perez, M.S. CFY-SLP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.