Wilman Bladimir Olmedo Calderon

Primary specialty

Interventional Cardiology PhysicianTaxonomy code 207RI0011X

License

61119 Issued in AZ

Practice address

16 Guion PL
New Rochelle, NY 10801-5502

Phone

(914) 632-5000

NPI assigned

Oct 1, 2013

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

Medicare fee-for-service enrollment

Enrolled in AZ, MI, PA3 enrollments

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 3

Specialty

Cardiovascular Disease (Cardiology)Also: Internal Medicine, Interventional Cardiology

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Laurel Cardiology PCGroup PAC ID 5991768723, 4 clinicians

University of Pittsburgh PhysiciansGroup PAC ID 8729990239, 4,166 clinicians

Johnstown Heart and Vascular Center, IncGroup PAC ID 5092968032, 6 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Chan Soon- Shiong Medical Center at Windber Hospital, Windber, PA, CCN 390112
• Upmc Jameson Hospital, New Castle, PA, CCN 390016
• Conemaugh Memorial Medical Center Hospital, Johnstown, PA, CCN 390110

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: olmedo.calderon.wilman@direct.azkrmc.md
• Direct secure messaging: wilman.b.olmedocalderon@upmcdirect.com
• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

• Johnstown Heart and Vascular Center Inc.

  • Interventional Cardiology Physician
  • Johnstown, PA
  • NPI 1073858098
  Medicare reassignment Care Compare group NPD
• Laurel Cardiology PC

  • Specialist
  • Johnstown, PA
  • NPI 1508905878
  Medicare reassignment Care Compare group NPD
• University of Pittsburgh Physicians

  • Gastroenterology Physician
  • Pittsburgh, PA
  • NPI 1619935004
  Medicare reassignment Care Compare group NPD
• Bullhead City Clinic Corp

  • Surgery Physician
  • Bullhead City, AZ
  • NPI 1962429878
  Medicare reassignment NPD
• DLP Conemaugh Physician Practices LLC

  • Family Medicine Physician
  • Cresson, PA
  • NPI 1932515905
  Medicare reassignment NPD
• DLP Marquette Physician Practices Inc

  • Obesity Medicine (Internal Medicine) Physician
  • Marquette, MI
  • NPI 1487902995
  Medicare reassignment NPD
• Kingman Healthcare, Inc

  • General Acute Care Hospital
  • Kingman, AZ
  • NPI 1265423917
  Medicare reassignment NPD
• Regional Health Services Inc

  • Family Medicine Physician
  • Erie, PA
  • NPI 1174520654
  Medicare reassignment NPD
• Somerset Health Services Inc

  • Family Medicine Physician
  • Somerset, PA
  • NPI 1134237407
  Medicare reassignment NPD
• Susquehanna Physician Services

  • Cardiovascular Disease Physician
  • Williamsport, PA
  • NPI 1861431116

  Interventional Cardiology

  Medicare reassignment NPD
• Upmc Altoona Regional Health Services, Inc

  • Family Medicine Physician
  • Altoona, PA
  • NPI 1396724217
  Medicare reassignment NPD
• Bullhead City Clinic Corp

  • Family Medicine Physician
  • Laughlin, NV
  • NPI 1700240884
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• DLP Conemaugh Memorial Medical Center LLC

  • General Acute Care Hospital
  • Johnstown, PA
  • NPI 1801897038
  Care Compare affiliation
• Upmc Jameson

  • Adult Mental Health Clinic/Center
  • New Castle, PA
  • NPI 1336277953

  Hospital

  Care Compare affiliation
• Upmc Jameson

  • General Acute Care Hospital
  • New Castle, PA
  • NPI 1477538312
  Care Compare affiliation
• Upmc Jameson

  • Ambulatory Surgical Clinic/Center
  • New Castle, PA
  • NPI 1609920206

  Hospital

  Care Compare affiliation
• Windber Hospital, Inc.

  • General Acute Care Hospital
  • Windber, PA
  • NPI 1275620536
  Care Compare affiliation

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

{
    "created_epoch": "1380585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602720000000",
    "number": "1457788796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 GUION PL",
            "address_2": "APARTMENT 6F",
            "city": "NEW ROCHELLE",
            "state": "NY",
            "postal_code": "108015512",
            "telephone_number": "818-534-7320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 GUION PL",
            "city": "NEW ROCHELLE",
            "state": "NY",
            "postal_code": "108015502",
            "telephone_number": "914-632-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLMEDO CALDERON",
        "first_name": "WILMAN",
        "middle_name": "BLADIMIR",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-10-01",
        "last_updated": "2020-10-15",
        "certification_date": "2020-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "AZ",
            "license": "61119",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ogunleye Rehabilitation Services Inc
• Bankole Ogunleye
• Mary Catherine Oleksiak Maher, SPECIAL EDUCATION MS
• Olive Oak Mental Health Counseling Services PC
• Mary Jo Olivieri, MSED
• Esther Ayomide Omisore, LMFT
• On Point Physical Therapy P.C.
• On Point Physical Therapy P.C.
• On-Site Medical Diagnostics P.C.
• Debra Onorato

• Interventional Cardiology Physician in New Rochelle, NY
• Providers in New Rochelle, NY by specialty
• Interventional Cardiology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 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.

Verify at the official NPI Registry.