Rafael J. Calzadilla, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ME0064814 Issued in FL

Practice address

1949 Northgate Blvd
Sarasota, FL 34234-2143

Phone

(941) 373-7844

Fax

(941) 373-7856

NPI assigned

Oct 6, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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.

• MCR Health, Inc.

  • Federally Qualified Health Center (FQHC)
  • Parrish, FL
  • NPI 1255376000
  Medicare reassignment

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537833600000",
    "number": "1457448102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 8TH AVE W STE 101",
            "city": "PALMETTO",
            "state": "FL",
            "postal_code": "342214737",
            "telephone_number": "941-776-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1949 NORTHGATE BLVD",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342342143",
            "telephone_number": "941-373-7844",
            "fax_number": "941-373-7856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALZADILLA",
        "first_name": "RAFAEL",
        "middle_name": "J.",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-06",
        "last_updated": "2018-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME0064814",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001933500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Courtney Baylie Callaghan, MS
• Gayle L Callahan, RPH
• Morgan Callahan
• Lisa Caller, A.P. OR L.AC.
• Johan Calvo, PRESIDENT
• Juan Camilo Camacho-Vasquez, M.D.
• Carlos Camacho
• Lori Spoor Camelo, PT
• Jeffrey S Cameron, MD
• Sylvia Jean Camfield, LCSW

• Family Medicine Physician in Sarasota, FL
• Providers in Sarasota, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2018; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.