Royce Ford Calhoun II, MD
Individual provider Active NPI Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician · Edgewood, KY
NPI 1477535110 · NPPES record last updated Oct 29, 2020
Key facts
- NPI
- 1477535110
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X
- License
- 48735 (KY)
- Practice address
- 1 Medical Village Dr
Edgewood, KY 41017-3403 - Phone
- (859) 301-2465
- Fax
- (859) 301-4941
- NPI assigned
- Nov 17, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 16
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Thoracic Surgery
- Education
- Emory University School of Medicine, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- St Elizabeth Medical Center, Inc
Practice addresses (Care Compare)
1 Medical Village Dr
Edgewood, KY 41017-3403
Phone (859) 301-4723
Hospital & facility affiliations
- St Elizabeth Edgewood
- St Elizabeth Dearborn Hospital
- St Elizabeth Florence
- St Elizabeth Ft Thomas
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.01 of 100
- Quality
- 86.02
- Promoting interoperability
- 100
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160202002575 | KY | Practitioner - Thoracic Surgery | 0446244263 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 48735 | KY | MD | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Elizabeth Medical Center, Inc | Current | Accepting new patients | |
| Summit Medical Group, Inc | Past | Accepting new patients | |
| St Elizabeth Medical Center, Inc | Past | Accepting new patients |
Locations
20 Medical Village Dr
Ste 105
Edgewood, KY 41017
Phone (859) 426-7000
1 Medical Village Dr
Edgewood, KY 41017
Phone (859) 301-2000
4900 Houston Rd
Florence, KY 41042
Phone (859) 212-5200
85 N Grand Ave
Fort Thomas, KY 41075
Phone (859) 572-3100
2300 Chamber Center Dr
Ste 300
Lakeside Park, KY 41017
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | 48735 | KY | Yes |
Addresses
Primary practice location
1 Medical Village Dr
Edgewood, KY 41017-3403
Mailing address
2300 Chamber Center Dr
Ste 300
Lakeside Park, KY 41017-1686
Phone (859) 301-9010
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0157044 | Medicaid | OH | |
| 200438920 | Medicaid | IN | |
| 00G871490 | Other | CA | MEDICARE PTAN - REGENTS OF THE UNIVERSITY OF CALIFORNIA |
| 1477535110 | Medicaid | CA | |
| 7100400970 | Medicaid | KY |
Other providers in Edgewood, KY
- Christopher Dean Caggiano
- Christina Marie Cain
- Jacob Cain
- Edward H Caldwell
- Morgan Christian Calhoun
- Constance Woerman Calvert
- Jessica M Carbiener
- Cardiology Associates, PSC
- Caretenders of Northern Kentucky, Inc.
- Caretenders VS of Northern Ky, LLC
All providers in Edgewood, KY · Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 29, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.