Individual provider Active NPI

Russell David Calvo Jr., MD

  • Orthopaedic Surgery Physician
  • Austin, TX
National Provider Identifier
1295796431
Registry record updated Feb 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
F1427 Issued in TX
Practice address
12812 Hacienda RDG
Austin, TX 78738-7652
Phone
(512) 563-5015
Fax
(512) 597-2159
NPI assigned
Mar 29, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X F1427 TX Primary

Addresses

Primary practice location

12812 Hacienda RDG
Austin, TX 78738-7652

Mailing address

12812 Hacienda RDG
Austin, TX 78738-7652
Phone (512) 563-5015

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Jan 18, 2023 through Jan 18, 2027

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F1427TXMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Fort Bend Orthopaedic Surgery, PA Orthopaedic Surgery CurrentSince Feb 18, 2024 Accepting new patients
Gulf Anesthesia Associates PA Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1143590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708041600000",
    "number": "1295796431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12812 HACIENDA RDG",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787387652",
            "telephone_number": "512-563-5015",
            "fax_number": "512-597-2159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12812 HACIENDA RDG",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787387652",
            "telephone_number": "512-563-5015",
            "fax_number": "512-597-2159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALVO",
        "first_name": "RUSSELL",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-29",
        "last_updated": "2024-02-16",
        "certification_date": "2024-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "TX",
            "license": "F1427",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.