Individual provider Active NPI

James Otto Calder, M.D.

  • Adolescent Medicine (Internal Medicine) Physician
  • Cynthiana, KY
National Provider Identifier
1447667332
Registry record updated Jan 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent Medicine (Internal Medicine) PhysicianTaxonomy code 207RA0000X
License
51433 Issued in KY
Practice address
1210 Ky Highway 36 E Ste 2a
Cynthiana, KY 41031-7492
Phone
(859) 298-2650
Fax
(859) 234-0530
NPI assigned
Jul 13, 2014
Last updated
Jan 2, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adolescent Medicine (Internal Medicine) Physician 207RA0000X 51433 KY Primary

Addresses

Primary practice location

1210 Ky Highway 36 E Ste 2a
Cynthiana, KY 41031-7492

Mailing address

1210 Ky Highway 36 E Ste 2a
Cynthiana, KY 41031-7492
Phone (859) 298-2650

Other practice location 1

254 E Main St
Carlisle, KY 40311-1156
Phone (859) 289-6311

Other identifiers 1

IdentifierTypeStateIssuer
7100370170MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20180830003707 KY Practitioner - Internal Medicine 0244545788 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Kentucky College of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1 Saint Joseph Dr
Lexington, KY 40504-3742
Phone (859) 313-1000

1210 Ky Hwy 36 E
Cynthiana, KY 41031-7490
Phone (859) 234-2300

1210 Ky Hwy 36 E
Unit 1
Cynthiana, KY 41031-7665
Phone (859) 234-2300

150 N Eagle Creek Dr
Lexington, KY 40509-1805
Phone (859) 967-5000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
51433KYMDAdolescent Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cogent Healthcare of Kentucky, PSC Internal Medicine CurrentSince Sep 1, 2022 Accepting new patients
Harrison Memorial Hospital Past Accepting new patients

Locations

1210 KY Highway 36 E
Ste 2A
Cynthiana, KY 41031
Phone (859) 234-2300

1210 KY Highway 36 E
Unit 1
Cynthiana, KY 41031
Phone (859) 234-2300

150 N Eagle Creek Dr
Lexington, KY 40509
Phone (859) 267-9773

Ownership & related parties

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Harrison Memorial HospitalCynthiana, KY, CCN 180079 Hospital Corporate Officer Jan 1, 2024
HMH Primary CareCynthiana, KY, CCN 188541 Rural health clinic Corporate Director Jan 1, 2025
HMH Express CareCynthiana, KY, CCN 188562 Rural health clinic Corporate Director Jan 1, 2025

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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.

Hospital & facility affiliations 4

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": "1405209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577923200000",
    "number": "1447667332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1210 KY HIGHWAY 36 E STE 2A",
            "city": "CYNTHIANA",
            "state": "KY",
            "postal_code": "410317492",
            "telephone_number": "859-298-2650",
            "fax_number": "859-234-0530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1210 KY HIGHWAY 36 E STE 2A",
            "city": "CYNTHIANA",
            "state": "KY",
            "postal_code": "410317492",
            "telephone_number": "859-298-2650",
            "fax_number": "859-234-0530"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "254 E Main St",
            "address_purpose": "LOCATION",
            "city": "Carlisle",
            "state": "KY",
            "postal_code": "403111156",
            "country_code": "US",
            "telephone_number": "859-289-6311",
            "fax_number": "859-289-3366",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CALDER",
        "first_name": "JAMES",
        "middle_name": "OTTO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-07-13",
        "last_updated": "2020-01-02",
        "certification_date": "2020-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RA0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Adolescent Medicine",
            "state": "KY",
            "license": "51433",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100370170",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cynthiana, KY

Sources for this page

Verify at the official NPI Registry.