Individual provider Active NPI

Paulo Calderon, M.D.

  • Family Medicine Physician
  • Rowlett, TX
National Provider Identifier
1467637819
Registry record updated May 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
M9898 Issued in TX
Practice address
7501 Lakeview Pkwy
Suite #130
Rowlett, TX 75088-9322
Phone
(972) 463-3100
NPI assigned
Jan 4, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X 80882 AZ
Family Medicine Physician 207Q00000X M9898 TX Primary

Addresses

Primary practice location

7501 Lakeview Pkwy
Suite #130
Rowlett, TX 75088-9322

Mailing address

7501 Lakeview Pkwy
Suite #130
Rowlett, TX 75088-9322
Phone (972) 463-3100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20110901000276 TX Practitioner - Family Practice 6901076884 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Texas Medical School at San Antonio, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

7501 Lakeview Pkwy
Suite 130
Rowlett, TX 75088-9324
Phone (972) 463-3100

900 Airport Fwy
Suite 158
Hurst, TX 76054-3253
Phone (817) 514-4000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
80882AZMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Medhealth Family Medicine CurrentSince Oct 10, 2016 Accepting new patients
Medical Clinic of North Texas, PLLC Family Medicine CurrentSince Oct 1, 2024 Accepting new patients
Medhealth CurrentSince Oct 10, 2016 Accepting new patients
Medical Clinic of North Texas PLLC CurrentSince Oct 1, 2024 Accepting new patients
Texas Health Care, P.L.L.C. Family Medicine Past Accepting new patients
R. Greg Maul, D.O., P.a. Family Medicine Past Accepting new patients

Locations

900 Airport Fwy
Ste 158
Hurst, TX 76054
Phone (817) 514-4000

4001 W 15th St
Ste 245
Plano, TX 75093
Phone (972) 596-5222

399 W Campbell Rd
Ste 101
Richardson, TX 75080
Phone (972) 238-1848

7501 Lakeview Pkwy
Ste 130
Rowlett, TX 75088
Phone (972) 463-3100

Interoperability endpoints

  • Direct secure messaging: paulo.calderon@wellmed.eclinicaldirectplus.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 6

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 11

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": "1199404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1336953600000",
    "number": "1467637819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7501 LAKEVIEW PKWY",
            "address_2": "SUITE #130",
            "city": "ROWLETT",
            "state": "TX",
            "postal_code": "750889322",
            "telephone_number": "972-463-3100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7501 LAKEVIEW PKWY",
            "address_2": "SUITE #130",
            "city": "ROWLETT",
            "state": "TX",
            "postal_code": "750889322",
            "telephone_number": "972-463-3100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALDERON",
        "first_name": "PAULO",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-01-04",
        "last_updated": "2012-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "AZ",
            "license": "80882",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "M9898",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rowlett, TX

Sources for this page

Verify at the official NPI Registry.