Ralph Dunham Caldroney, M.D.

Individual provider Active NPI Internal Medicine Physician · Lexington, VA

NPI 1528025517 · NPPES record last updated Dec 24, 2014

Key facts

NPI
1528025517
Entity type
Individual (NPI type 1)
Primary specialty
Internal Medicine Physician 207R00000X
License
0101-249322 (VA)
Practice address
108 Houston St
Suite C
Lexington, VA 24450-2455
Phone
(540) 463-7628
Fax
(540) 463-6956
NPI assigned
Apr 26, 2006
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0101-249322VAMDInternal Medicine Physician

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 20872 KY
Internal Medicine Physician 207R00000X 0101-249322 VA Yes

Addresses

Primary practice location

108 Houston St
Suite C
Lexington, VA 24450-2455

Mailing address

108 Houston St
Suite C
Lexington, VA 24450-2455
Phone (540) 463-7628

Other identifiers

IdentifierTypeStateIssuer
64208721MedicaidKY
412013126OtherKYRAILROAD MEDICARE
VVF476AOtherVAMEDICARE PTAN
022092900OtherKYBLACK LUNG INSURANCE
1283881OtherKYUNITED MINE WORKERS ASSOC
4382528OtherKYAETNA INSURANCE COMPANY
000000047058OtherKYBLUE CROSS & BLUE SHIELD

Other providers in Lexington, VA

All providers in Lexington, VA · Internal Medicine Physician in Virginia

Sources for this page

Verify at the official NPI Registry.