Individual provider Active NPI

Stephan Michel Calvino, M.D.

  • Family Medicine Physician
  • Punta Gorda, FL
National Provider Identifier
1336357136
Registry record updated Jul 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME99248 Issued in FL
Practice address
260 Milus St
Punta Gorda, FL 33950-3824
Phone
(941) 637-0911
Fax
(941) 637-9153
NPI assigned
May 18, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X TRN 8241 FL
Family Medicine Physician 207Q00000X ME99248 FL Primary

Addresses

Primary practice location

260 Milus St
Punta Gorda, FL 33950-3824

Mailing address

260 Milus St
Punta Gorda, FL 33950-3824
Phone (941) 637-0911

Other identifiers 1

IdentifierTypeStateIssuer
02521OtherFLFL BC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20071018000329 FL Practitioner - Family Practice 4981790219 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

260 Milus St
Punta Gorda, FL 33950-3824
Phone (941) 637-0911

Hospital & facility affiliations

  • Amedisys Home Health Home health agency, Port Charlotte, FL, CCN 108270
  • HCA Florida Healthcare at Home Home health agency, PT Charlotte, FL, CCN 108013

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME99248FLMDFamily Medicine Physician
TRN 8241FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Calvino Family Medicine PLLC Family Medicine CurrentSince Aug 1, 2022 Accepting new patients
Mark C Droffner Family Medicine PastSince Jul 24, 2022 Accepting new patients

Locations

260 Milus St
Punta Gorda, FL 33950
Phone (941) 637-0911

Interoperability endpoints

  • Direct secure messaging: stephane.calvino.1@26884.direct.athenahealth.com

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.

Hospital & facility affiliations 2

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": "1179446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658275200000",
    "number": "1336357136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 MILUS ST",
            "city": "PUNTA GORDA",
            "state": "FL",
            "postal_code": "339503824",
            "telephone_number": "941-637-0911",
            "fax_number": "941-637-9153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 MILUS ST",
            "city": "PUNTA GORDA",
            "state": "FL",
            "postal_code": "339503824",
            "telephone_number": "941-637-0911",
            "fax_number": "941-637-9153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALVINO",
        "first_name": "STEPHAN",
        "middle_name": "MICHEL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-18",
        "last_updated": "2022-07-20",
        "certification_date": "2022-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "TRN 8241",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME99248",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FL BC",
            "identifier": "02521",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Punta Gorda, FL

Sources for this page

Verify at the official NPI Registry.