Individual provider Active NPI

Keith Don Calligaro, MD

  • Vascular Surgery Physician
  • Philadelphia, PA
National Provider Identifier
1326198946
Registry record updated Sep 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
MD644059E Issued in PA
Practice address
700 Spruce St
Ste 101
Philadelphia, PA 19106-0423
Phone
(215) 829-5000
Fax
(215) 829-0578
NPI assigned
Jan 12, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X MD644059E PA Primary

Addresses

Primary practice location

700 Spruce St
Ste 101
Philadelphia, PA 19106-0423

Mailing address

700 Spruce St
Ste 101
Philadelphia, PA 19106-0423
Phone (215) 829-5000

Other identifiers 1

IdentifierTypeStateIssuer
00116801610001MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, PA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20041027000270 NJ Practitioner - Vascular Surgery 5890757413
I20070726000736 PA Practitioner - Vascular Surgery 5890757413 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Vascular Surgery
Education
Rutgers New Jersey Medical School, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of Penn-Medical GroupGroup PAC ID 6204730955, 3,433 clinicians

Practice addresses (Care Compare)

1001 Chesterbrook Blvd
Berwyn, PA 19312-3805
Phone (610) 576-7636

1001 Chesterbrook Blvd FL 3
Specialty Care VF
Berwyn, PA 19312-3805
Phone (610) 576-7500

777 Township Line Rd
Suite 200
Yardley, PA 19067-5564
Phone (215) 860-0775

800 Walnut St 20TH FL
Penn Vascular Surgery and Endovasc
Philadelphia, PA 19107-5176
Phone (215) 454-3234

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.91 of 100Reported as group
Quality
73.58
Promoting interoperability
100
Improvement activities
40
Cost
76.13

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD644059EPAMDVascular Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Metropolitan Nephrology Associates, PC Vascular Surgery CurrentSince May 17, 2014 Accepting new patients
University of Penn-Medical Group CurrentSince Aug 16, 2022 Accepting new patients
University of Penn-Medical Group CurrentSince Aug 16, 2022 Accepting new patients
Chestnut Hill Clinic Company, LLC CurrentSince May 28, 2020 Accepting new patients
Chestnut Hill Clinic Company, LLC Current Accepting new patients
Clinical Care Associates of the University of Pennsylvania Health Current Accepting new patients
Clinical Care Associates of the University of Pennsylvania Health Syst CurrentSince Jan 8, 2025 Accepting new patients
Clinical Care Associates of the University of Pennsylvania Health CurrentSince Jan 8, 2025 Accepting new patients
University of Penn-Medical Group Current Accepting new patients
Chestnut Hill Clinic Company, LLC CurrentSince May 28, 2020 Accepting new patients
Metropolitan Nephrology Associates, P.C. CurrentSince May 17, 2014 Accepting new patients
Clinical Care Associates of the University of Pennsylvania Health Syst Past Accepting new patients
University of Penn - Medical Group Past Accepting new patients

Locations

1001 Chesterbrook Blvd
Fl 3
Berwyn, PA 19312
Phone (610) 576-7500

1001 Chesterbrook Blvd
Fl 3E
Berwyn, PA 19312

8815 Germantown Ave
Ste 22
Philadelphia, PA 19118
Phone (215) 248-4340

700 Spruce St
Ste 101
Philadelphia, PA 19106
Phone (215) 829-5000

4453 Castor Ave
#B
Philadelphia, PA 19124
Phone (215) 238-2266

3624 Market St
Fl 2
Philadelphia, PA 19104
Phone (215) 615-3669

800 Walnut St
Fl 20
William Penn Annex West, PA 19107
Phone (215) 829-2092

8200 Flourtown Ave
Ste 2
Wyndmoor, PA 19038
Phone (215) 836-5100

777 Township Line Rd
Ste 200
Yardley, PA 19067
Phone (215) 860-0775

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/1267/brand/2/csg/121/fhir/r4

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 3

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": "1168560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347408000000",
    "number": "1326198946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 SPRUCE ST",
            "address_2": "STE 101",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191060423",
            "telephone_number": "215-829-5000",
            "fax_number": "215-829-0578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 SPRUCE ST",
            "address_2": "STE 101",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191060423",
            "telephone_number": "215-829-5000",
            "fax_number": "215-829-0578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALLIGARO",
        "first_name": "KEITH",
        "middle_name": "DON",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-12",
        "last_updated": "2012-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "PA",
            "license": "MD644059E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00116801610001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.