Individual provider Active NPI

Maureen Leigh Caldwell, DPM

  • Primary Podiatric Medicine Podiatrist
  • Victoria, TX
National Provider Identifier
1568464634
Registry record updated Sep 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X
License
1357 Issued in TX
Practice address
116 Imperial Dr
Ste a
Victoria, TX 77901-3948
Phone
(361) 578-2777
Fax
(361) 578-2778
NPI assigned
Jun 2, 2005
Last updated
Sep 1, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 1357 TX
Primary Podiatric Medicine Podiatrist 213EP1101X 1357 TX Primary
Foot & Ankle Surgery Podiatrist 213ES0103X 1357 TX

Addresses

Primary practice location

116 Imperial Dr
Ste a
Victoria, TX 77901-3948

Mailing address

116 Imperial Dr
Ste a
Victoria, TX 77901-3948
Phone (361) 578-2777

Other identifiers 3

IdentifierTypeStateIssuer
P00143475OtherTXRAILROAD MEDICARE
092736002MedicaidTX
84530NOtherTXBCBS PROVIDER NUMBER

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100322000341 TX Practitioner - Podiatry 8921061532 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Des Moines University of Osteopathic Medicine and Health Sciences, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Podiatry Associates of Victoria PAGroup PAC ID 9830152438, 3 clinicians

Practice addresses (Care Compare)

116 Imperial Dr
Suite a
Victoria, TX 77901-3948
Phone (361) 578-2777

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
99.75
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue20
Removal of nail tissue102
Removal or shaving of skin growth45

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Podiatry Associates of Victoria PA Podiatrist CurrentSince Apr 1, 1999 Accepting new patients
Lavaca Hospital District CurrentSince Jan 1, 2013 Accepting new patients
Citizens Medical Center County of Victoria PastSince Apr 1, 1999 Accepting new patients

Locations

1400 N Texana St
Hallettsville, TX 77964
Phone (361) 798-3671

1406 N Texana St
Hallettsville, TX 77964
Phone (361) 798-3671

116 Imperial Dr
Ste A
Victoria, TX 77901

Interoperability endpoints

  • Direct secure messaging: mcaldwell@paov.mdlogic.direct-ci.com

Organizations & group practices 3

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.

Hospital & facility affiliations 1

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": "1117670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598918400000",
    "number": "1568464634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 IMPERIAL DR",
            "address_2": "STE A",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779013948",
            "telephone_number": "361-578-2777",
            "fax_number": "361-578-2778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 IMPERIAL DR",
            "address_2": "STE A",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779013948",
            "telephone_number": "361-578-2777",
            "fax_number": "361-578-2778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALDWELL",
        "first_name": "MAUREEN",
        "middle_name": "LEIGH",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-02",
        "last_updated": "2020-09-01",
        "certification_date": "2020-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "TX",
            "license": "1357",
            "primary": false
        },
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "TX",
            "license": "1357",
            "primary": true
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "TX",
            "license": "1357",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00143475",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "092736002",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "84530N",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Victoria, TX

Sources for this page

Verify at the official NPI Registry.