Individual provider Active NPI

Javid A Calcatti, MD

  • Internal Medicine Physician
  • North Providence, RI
National Provider Identifier
1386722700
Registry record updated Mar 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
10525 Issued in RI
Practice address
1635 Mineral Spring Ave Ste 203
Suite 305
North Providence, RI 02904-4025
Phone
(401) 438-1011
NPI assigned
Nov 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2016

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 10525 RI Primary

Addresses

Primary practice location

1635 Mineral Spring Ave Ste 203
Suite 305
North Providence, RI 02904-4025

Mailing address

1635 Mineral Spring Ave Ste 203
Suite 305
North Providence, RI 02904-4025
Phone (401) 438-1010

Other identifiers 2

IdentifierTypeStateIssuer
408256OtherRIBLUE CHIP
029762OtherRIBLUE CROSS BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI
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
I20041220000110 RI Practitioner - Internal Medicine 6507823713 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Wellnorth Medical LLCGroup PAC ID 8628235652, 2 clinicians

Practice addresses (Care Compare)

1630 Mineral Spring Ave
Suite 2
North Providence, RI 02904-4025

1630 Mineral Spring Ave
Suite 2
North Providence, RI 02904-4043

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
10525RIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wellnorth Medical LLC CurrentSince Jan 1, 2012 Accepting new patients
Renew Physical Therapy & Wellness Studio PastSince Apr 4, 2016 Accepting new patients

Locations

1630 Mineral Spring Ave
Ste 2
North Providence, RI 02904
Phone (401) 353-7330

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 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": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457568000000",
    "number": "1386722700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1635 MINERAL SPRING AVE STE 203",
            "address_2": "SUITE 305",
            "city": "NORTH PROVIDENCE",
            "state": "RI",
            "postal_code": "029044025",
            "telephone_number": "401-438-1010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1635 MINERAL SPRING AVE STE 203",
            "address_2": "SUITE 305",
            "city": "NORTH PROVIDENCE",
            "state": "RI",
            "postal_code": "029044025",
            "telephone_number": "401-438-1011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALCATTI",
        "first_name": "JAVID",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-02",
        "last_updated": "2016-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "RI",
            "license": "10525",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CHIP",
            "identifier": "408256",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "029762",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Providence, RI

Sources for this page

Verify at the official NPI Registry.