Active NPI
Joan G Calkins, MD
- Pediatrics Physician
- Hamburg, NY
National Provider Identifier
1518928456
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 1968231
- Practice address
- 17 Long Ave
Ste 110
Hamburg, NY 14075 - Phone
- (716) 646-5188
- Fax
- (716) 646-5190
- NPI assigned
- Mar 30, 2006
- Last updated
- Feb 29, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 1968231 | NY | Primary |
| Pediatric Rheumatology Physician | 2080P0216X | 1968231 | NY |
Addresses
Primary practice location
17 Long Ave
Ste 110
Hamburg, NY 14075
Mailing address
17 Long Ave
Ste 110
Hamburg, NY 14075-6200
Phone (716) 646-5188
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01515782 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1968231 | NY | MD | Pediatric Rheumatology Physician |
Interoperability endpoints
- jcalkins@villagepediatrics.medentdirect.com
Organizations & group practices 1
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.
-
- Rheumatology Physician
- Hamburg, NY
- NPI 1366520363
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143676800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1330473600000",
"number": "1518928456",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17 LONG AVE",
"address_2": "STE 110",
"city": "HAMBURG",
"state": "NY",
"postal_code": "140756200",
"telephone_number": "716-646-5188",
"fax_number": "716-646-5190"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17 LONG AVE",
"address_2": "STE 110",
"city": "HAMBURG",
"state": "NY",
"postal_code": "14075",
"telephone_number": "716-646-5188",
"fax_number": "716-646-5190"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CALKINS",
"first_name": "JOAN",
"middle_name": "G",
"name_prefix": "Ms.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-30",
"last_updated": "2012-02-29",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NY",
"license": "1968231",
"primary": true
},
{
"code": "2080P0216X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Rheumatology",
"state": "NY",
"license": "1968231",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01515782",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Hamburg, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2012; 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.