Individual provider Active NPI

Thomas Arpero Calderon, MD

  • Family Medicine Physician
  • Bellingham, WA
National Provider Identifier
1366595654
Registry record updated Sep 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD00036406 Issued in WA
Practice address
4455 Cordata Pkwy
Bellingham, WA 98226-8037
Phone
(360) 671-3225
Fax
(360) 671-0000
NPI assigned
Jan 19, 2007
Last updated
Sep 20, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2016

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 MD00036406 WA Primary

Addresses

Primary practice location

4455 Cordata Pkwy
Bellingham, WA 98226-8037

Mailing address

25944 Community Plaza Way
Sedro Woolley, WA 98284-9721
Phone (360) 854-7070

Other identifiers 1

IdentifierTypeStateIssuer
8233876MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20111019000710 TX Practitioner - Family Practice 6709966898 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Utah School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Upper Skagit Indian TribeGroup PAC ID 2264501535, 2 clinicians

Practice addresses (Care Compare)

25959 Community Plaza Way
Sedro Woolley, WA 98284-9721
Phone (360) 854-7020

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Upper Skagit Indian Tribe CurrentSince Aug 22, 2011 Accepting new patients

Locations

25944 Community Plaza Way
Sedro Woolley, WA 98284
Phone (360) 854-7069

25959 Community Plaza Way
Sedro Woolley, WA 98284
Phone (360) 854-7020

Organizations & group practices 1

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 1

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": "1169164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474329600000",
    "number": "1366595654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25944 COMMUNITY PLAZA WAY",
            "city": "SEDRO WOOLLEY",
            "state": "WA",
            "postal_code": "982849721",
            "telephone_number": "360-854-7070",
            "fax_number": "360-854-7060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4455 CORDATA PKWY",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982268037",
            "telephone_number": "360-671-3225",
            "fax_number": "360-671-0000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALDERON",
        "first_name": "THOMAS",
        "middle_name": "ARPERO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-19",
        "last_updated": "2016-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD00036406",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8233876",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellingham, WA

Sources for this page

Verify at the official NPI Registry.