Individual provider Active NPI

Roberto Daniel Calderon, M.D.

  • Orthopaedic Surgery Physician
  • Phoenix, AZ
National Provider Identifier
1568649812
Registry record updated Oct 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
34221 Issued in AZ
Practice address
3811 E Bell Rd Ste 309
Phoenix, AZ 85032
Phone
(480) 420-0749
Fax
(480) 420-0732
NPI assigned
Jan 29, 2008
Last updated
Oct 28, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 2013-00002 NC
Orthopaedic Surgery Physician 207X00000X 21200 MT
Orthopaedic Surgery Physician 207X00000X 34221 AZ Primary

Addresses

Primary practice location

3811 E Bell Rd Ste 309
Phoenix, AZ 85032

Mailing address

3811 E Bell Rd Ste 309
Phoenix, AZ 85032-2160
Phone (480) 420-0749

Other practice location 1

2222 E Highland Ave Ste 300
Phoenix, AZ 85016
Phone (602) 277-6211

Other practice location 2

2222 E Highland Ave Ste 300
Phoenix, AZ 85016
Phone (602) 277-6211

Other practice location 3

2222 E Highland Ave Ste 300
Phoenix, AZ 85016
Phone (602) 277-6211

Other practice location 4

2222 E Highland Ave Ste 300
Phoenix, AZ 85016
Phone (602) 277-6211

Other practice location 5

2222 E Highland Ave Ste 300
Phoenix, AZ 85016
Phone (602) 277-6211

Other practice location 6

2222 E Highland Ave Ste 300
Phoenix, AZ 85016
Phone (602) 277-6211

Other identifiers 3

IdentifierTypeStateIssuer
NCB434AOtherNCMEDICARE PTAN
P00817167OtherMEDICARE RR
P00884670OtherMDRR MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT, AZ, WA3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20130819000314 MT Practitioner - Orthopedic Surgery 7911030267 Reassigns benefits to 2 organizations
I20180412002000 AZ Practitioner - Orthopedic Surgery 7911030267 Reassigns benefits to 1 organization
I20210118000452 WA Practitioner - Orthopedic Surgery 7911030267 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Hospital of AnacondaGroup PAC ID 8123938974, shared by 5 NPIs, 45 clinicians

Practice addresses (Care Compare)

305 W Pennsylvania Ave
Anaconda, MT 59711-1900
Phone (406) 563-8571

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Knee replacement1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34221AZMDOrthopaedic Surgery Physician
21200MTMDOrthopaedic Surgery Physician
2013-00002NCMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Hospital of Anaconda CurrentSince Jun 15, 2023 Accepting new patients
Community Hospital of Anaconda Current Accepting new patients
Community Hospital of Anaconda Current Accepting new patients
Multicare Health System CurrentSince Jan 4, 2021 Accepting new patients
Community Hospital of Anaconda CurrentSince Jun 15, 2023 Accepting new patients
Multicare Health System CurrentSince Jan 4, 2021 Accepting new patients
Multicare Health System Current Accepting new patients
Community Hospital of Anaconda Current Accepting new patients
VHS Outpatient Clinics, Inc. CurrentSince Oct 6, 2019 Accepting new patients
VHS Outpatient Clinics, Inc. CurrentSince Oct 6, 2019 Accepting new patients
Capital Area Orthopedic Associates, LLC Orthopaedic Surgery Past Accepting new patients

Locations

5130 W Baseline Rd
Ste 102
Laveen, AZ 85339
Phone (602) 237-0039

2222 E Highland Ave
Ste 30
Phoenix, AZ 85016

2222 E Highland Ave
Ste 300
Phoenix, AZ 85016
Phone (602) 483-6165

3811 E Bell Rd
Ste 309
Phoenix, AZ 85032
Phone (480) 420-0749

1102 E Commercial Ave
Anaconda, MT 59711
Phone (406) 563-7282

305 W Pennsylvania Ave
Anaconda, MT 59711
Phone (406) 563-8571

401 W Pennsylvania Ave
Anaconda, MT 59711
Phone (406) 563-5261

4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590

311 S L St
Tacoma, WA 98405
Phone (253) 403-1444

Organizations & group practices 11

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 9

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": "1201564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572220800000",
    "number": "1568649812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3811 E BELL RD STE 309",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850322160",
            "telephone_number": "480-420-0749",
            "fax_number": "480-420-0732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3811 E BELL RD STE 309",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85032",
            "telephone_number": "480-420-0749",
            "fax_number": "480-420-0732"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2222 E Highland Ave Ste 300",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "85016",
            "country_code": "US",
            "telephone_number": "602-277-6211",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2222 E Highland Ave Ste 300",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "85016",
            "country_code": "US",
            "telephone_number": "602-277-6211",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2222 E Highland Ave Ste 300",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "85016",
            "country_code": "US",
            "telephone_number": "602-277-6211",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2222 E Highland Ave Ste 300",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "85016",
            "country_code": "US",
            "telephone_number": "602-277-6211",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2222 E Highland Ave Ste 300",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "85016",
            "country_code": "US",
            "telephone_number": "602-277-6211",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2222 E Highland Ave Ste 300",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "85016",
            "country_code": "US",
            "telephone_number": "602-277-6211",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CALDERON",
        "first_name": "ROBERTO",
        "middle_name": "DANIEL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-01-29",
        "last_updated": "2019-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NC",
            "license": "2013-00002",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MT",
            "license": "21200",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "AZ",
            "license": "34221",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "NCB434A",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RR",
            "identifier": "P00817167",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00884670",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.