Alexander Kenneth Calderone, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

70967 Issued in MN

Practice address

14050 Nicollet Ave Ste 300
Burnsville, MN 55337-5739

Phone

(952) 435-2450

NPI assigned

Mar 21, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Fairview Health Services

  • General Acute Care Hospital
  • Edina, MN
  • NPI 1699752915
  NPD (past)
• Metropolitan Pediatric Specialists, P.a.

  • Clinic/Center
  • Edina, MN
  • NPI 1558459206
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1553126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654732800000",
    "number": "1578023990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14050 NICOLLET AVE STE 300",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553375739",
            "telephone_number": "952-435-2450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14050 NICOLLET AVE STE 300",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553375739",
            "telephone_number": "952-435-2450"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6517 Drew Ave S",
            "address_purpose": "LOCATION",
            "city": "Edina",
            "state": "MN",
            "postal_code": "554352103",
            "country_code": "US",
            "telephone_number": "952-920-9191",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CALDERONE",
        "first_name": "ALEXANDER",
        "middle_name": "KENNETH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-21",
        "last_updated": "2022-06-09",
        "certification_date": "2022-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MN",
            "license": "70967",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathryn Lyn Buysse, PHARMD
• Bradley Bychinski, L.M.F.T
• Byerlys Inc
• Davis Edward Thomas Byrne
• Jesus F Cabrera, MD
• Amelea Fay Caldwell
• Ellen Cameron
• Daniella L Campbell
• Stephanie Campbell, PMHNP-BC
• Kristin Canan, LICSW

• Pediatrics Physician in Burnsville, MN
• Providers in Burnsville, MN by specialty
• Pediatrics Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.