Individual provider Active NPI

Esly Caldwell II, MD

  • Internal Medicine Physician
  • Cincinnati, OH
National Provider Identifier
1306944673
Registry record updated Aug 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35042906C Issued in OH
Practice address
2215 Upland PL
Cincinnati, OH 45206-2212
Phone
(513) 861-1354
NPI assigned
Sep 20, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 10, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 35042906C OH Primary
Internal Medicine Physician 207R00000X 23202 KY

Addresses

Primary practice location

2215 Upland PL
Cincinnati, OH 45206-2212

Mailing address

2215 Upland PL
Cincinnati, OH 45206-2212
Phone (513) 861-1354

Other identifiers 2

IdentifierTypeStateIssuer
0385677MedicaidOH
64028244MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20090408000557 OH Practitioner - Hematology 7517991672 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
23202KYMDInternal Medicine Physician
35042906COHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Health Experiences Internal Medicine CurrentSince Sep 7, 2019 Accepting new patients
The Health Experiences, LLC CurrentSince Sep 7, 2019 Accepting new patients
The Health Experiences Primary Care Internal Medicine Current Accepting new patients
Southern Maine Geriatrics Associates LLC PastSince Mar 10, 2003 Accepting new patients

Locations

199 William Howard Taft Rd
Fl 2
Cincinnati, OH 45219
Phone (513) 616-8774

640 Nilles Rd
Ste A
Fairfield, OH 45014
Phone (513) 860-9888

Interoperability endpoints

  • Direct secure messaging: esly.caldwell.1@14506.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/13616/brand/1/csg/1/fhir/r4

Organizations & group practices 4

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": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1249862400000",
    "number": "1306944673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2215 UPLAND PL",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452062212",
            "telephone_number": "513-861-1354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2215 UPLAND PL",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452062212",
            "telephone_number": "513-861-1354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALDWELL",
        "first_name": "ESLY",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2009-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35042906C",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KY",
            "license": "23202",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0385677",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64028244",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.