Individual provider Active NPI

Kevin John Caldwell, M.D.

  • Family Medicine Physician
  • Crescent City, CA
National Provider Identifier
1316928104
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
G42767 Issued in CA
Practice address
1240 Marshall St
Crescent City, CA 95531-2217
Phone
(707) 465-5566
Fax
(707) 465-4990
NPI assigned
Nov 8, 2005
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X G42767 CA Primary

Addresses

Primary practice location

1240 Marshall St
Crescent City, CA 95531-2217

Mailing address

1240 Marshall St
Crescent City, CA 95531-2217
Phone (707) 465-5566

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20080617000808 CA Practitioner - Family Practice 7719058825 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Saint Louis University School of Medicine, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Kevin J Caldwell M D IncGroup PAC ID 4284676263, 3 clinicians

Practice addresses (Care Compare)

1240 Marshall St
Crescent City, CA 95531-2217

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.52 of 100Reported as group
Quality
72.6
Improvement activities
40
Cost
74.92

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G42767CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kevin J Caldwell MD Inc CurrentSince Oct 1, 1991 Accepting new patients
Sutter Coast Hospital Past Accepting new patients

Locations

1240 Marshall St
Crescent City, CA 95531
Phone (707) 465-5566

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1131408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1316928104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1240 MARSHALL ST",
            "city": "CRESCENT CITY",
            "state": "CA",
            "postal_code": "955312217",
            "telephone_number": "707-465-5566",
            "fax_number": "707-465-4990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1240 MARSHALL ST",
            "city": "CRESCENT CITY",
            "state": "CA",
            "postal_code": "955312217",
            "telephone_number": "707-465-5566",
            "fax_number": "707-465-4990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALDWELL",
        "first_name": "KEVIN",
        "middle_name": "JOHN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-08",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G42767",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crescent City, CA

Sources for this page

Verify at the official NPI Registry.