NPIMap

Individual provider Active NPI

Eleazar E Calero, MD

  • Internal Medicine Physician
  • Chicago, IL
National Provider Identifier
1336280122
Registry record updated Jun 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036078184 Issued in IL
Practice address
4324 W 63Rd St
Chicago, IL 60629-5012
Phone
(773) 767-3171
Fax
(773) 767-9227
NPI assigned
Feb 12, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 036078184 IL Primary

Addresses

Primary practice location

4324 W 63Rd St
Chicago, IL 60629-5012

Mailing address

100 W Chicago Ave
Ste F
East Chicago, IN 46312-3261
Phone (219) 703-2583

Other identifiers 2

IdentifierTypeStateIssuer
110201552OtherILPALMETTO
1720250129OtherILPALMETTO GROUP NPI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130501000398 IN Practitioner - Internal Medicine 4486728623 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
219 Health Network IncGroup PAC ID 0547521452, 70 clinicians

Practice addresses (Care Compare)

100 W Chicago Ave
Suite F
East Chicago, IN 46312-3261
Phone (219) 392-7016

Hospital & facility affiliations

  • Powers Home Health Services Home health agency, Hobart, IN, CCN 157313
  • Community Hospital Hospital, Munster, IN, CCN 150125
  • St Catherine Hospital Inc Hospital, East Chicago, IN, CCN 150008
  • St Mary Medical Center Inc Hospital, Hobart, IN, CCN 150034
  • Advocate Christ Hospital & Medical Center Hospital, Oak Lawn, IL, CCN 140208
  • Powers Health Rehabilitation Center Inpatient rehabilitation facility, Crown Point, IN, CCN 153045

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036078184ILMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
219 Health Network, Inc. CurrentSince Aug 1, 2019 Accepting new patients
219 Health Network Inc Internal Medicine CurrentSince Aug 1, 2019 Accepting new patients
219 Health Network Inc Past Accepting new patients
Calero and Associates Healthcare Internal Medicine PastSince Jan 1, 1990 Accepting new patients

Locations

100 W Chicago Ave
Ste F
East Chicago, IN 46312
Phone (219) 392-7016

8141 Kennedy Ave
Highland, IN 46322
Phone (219) 838-5040

9130 Columbia Ave
Ste A
Munster, IN 46321
Phone (219) 365-1166

9660 Wicker Ave
Saint John, IN 46373
Phone (219) 226-2203

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.

Hospital & facility affiliations 8

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": "1171238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560384000000",
    "number": "1336280122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 W CHICAGO AVE",
            "address_2": "STE F",
            "city": "EAST CHICAGO",
            "state": "IN",
            "postal_code": "463123261",
            "telephone_number": "219-703-2583",
            "fax_number": "219-703-6749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4324 W 63RD ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606295012",
            "telephone_number": "773-767-3171",
            "fax_number": "773-767-9227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALERO",
        "first_name": "ELEAZAR",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-12",
        "last_updated": "2019-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036078184",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO",
            "identifier": "110201552",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GROUP NPI",
            "identifier": "1720250129",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.