Active NPI
Nelson Ahmed Calvo, APRN
- Family Nurse Practitioner
- Lauderdale Lakes, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 11000056
- Practice address
- 3001 NW 49TH Ave Ste 100
Lauderdale Lakes, FL 33313-7257 - Phone
- (954) 983-9191
- NPI assigned
- Apr 17, 2017
- Last updated
- Apr 7, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 9439535 | FL | |
| Surgical Assistant | 246ZC0007X | 17-256 | FL | |
| Family Nurse Practitioner | 363LF0000X | 11000056 | FL | Primary |
Addresses
Primary practice location
3001 NW 49TH Ave Ste 100
Lauderdale Lakes, FL 33313-7257
Mailing address
20371 NW 32ND CT
Miami Gardens, FL 33056-1854
Other practice location 1
20371 NW 32nd Ct
Miami Gardens, FL 33056-1854
Phone (786) 439-4184
Other practice location 2
28810 SW 154th Ave
Homestead, FL 33033-2543
Phone (786) 481-5940
Other names 1
- Nelson Calvo
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1604 Town Ctr Cir
Suite 4C
Weston, FL 33326-3640
Phone (954) 384-1800
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9439535 | FL | MD | Registered Nurse |
| 17-256 | FL | MD | Surgical Assistant |
| 11000056 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Associatesmd Medical Group Inc | Current | Accepting new patients | |
| Associatesmd Medical Group Inc | Current | Accepting new patients |
Locations
4780 SW 64th Ave
Ste 103
Davie, FL 33314
4780 SW 64th Ave
Davie, FL 33314
1604 Town Center Blvd
Ste C
Weston, FL 33326
Phone (954) 349-5447
1604 Town Center Blvd
Ste 4C
Weston, FL 33326
Phone (954) 384-1800
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.
-
- Family Medicine Physician
- Davie, FL
- NPI 1558900472
-
- Urgent Care Clinic/Center
- Pembroke Pines, FL
- NPI 1073141156
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1492387200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1586217600000",
"number": "1376077347",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20371 NW 32ND CT",
"city": "MIAMI GARDENS",
"state": "FL",
"postal_code": "330561854"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3001 NW 49TH AVE STE 100",
"city": "LAUDERDALE LAKES",
"state": "FL",
"postal_code": "333137257",
"telephone_number": "954-983-9191"
}
],
"practiceLocations": [
{
"address_1": "20371 NW 32nd Ct",
"address_purpose": "LOCATION",
"city": "Miami Gardens",
"state": "FL",
"postal_code": "330561854",
"country_code": "US",
"telephone_number": "786-439-4184",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "28810 SW 154th Ave",
"address_purpose": "LOCATION",
"city": "Homestead",
"state": "FL",
"postal_code": "330332543",
"country_code": "US",
"telephone_number": "786-481-5940",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CALVO",
"first_name": "NELSON",
"middle_name": "AHMED",
"credential": "APRN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-04-17",
"last_updated": "2020-04-07",
"certification_date": "2020-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "FL",
"license": "9439535",
"primary": false
},
{
"code": "246ZC0007X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Surgical Assistant",
"state": "FL",
"license": "17-256",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "11000056",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "NELSON",
"last_name": "CALVO",
"credential": "APRN",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Lauderdale Lakes, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.