Individual provider Active NPI

Domenick Anthony Calise, DPM

  • Foot Surgery Podiatrist
  • Zephyrhills, FL
National Provider Identifier
1609955145
Registry record updated Oct 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
PO3744 Issued in FL
Practice address
6326 Fort King Rd
Zephyrhills, FL 33542-2531
Phone
(813) 788-3600
Fax
(813) 788-7010
NPI assigned
Nov 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery Podiatrist 213ES0131X PO3744 FL Primary

Addresses

Primary practice location

6326 Fort King Rd
Zephyrhills, FL 33542-2531

Mailing address

6326 Fort King Rd
Zephyrhills, FL 33542-2531
Phone (813) 788-3600

Other identifiers 1

IdentifierTypeStateIssuer
PO3744OtherFLLICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20151118001447 FL Practitioner - Podiatry 2466345616 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Robert J Valins DPM PAGroup PAC ID 6507994324, 7 clinicians

Practice addresses (Care Compare)

6326 Fort King Rd
Zephyrhills, FL 33542-2531
Phone (813) 788-3600

Hospital & facility affiliations

  • Adventhealth Zephyrhills Hospital, Zephyrhills, FL, CCN 100046
  • Adventhealth Dade City Hospital, Dade City, FL, CCN 100211
  • Adventhealth Tampa Hospital, Tampa, FL, CCN 100173
  • Adventhealth Wesley Chapel Hospital, Wesley Chapel, FL, CCN 100319

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue81
Removal of skin lesions18
Removal of nail tissue268
Removal or shaving of skin growth124

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4367NYMDMental Health Counselor
004367NYMDAcupuncturist
PO3744FLMDFoot Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Calise Foot Care, LLC CurrentSince Oct 1, 2005 Accepting new patients
Robert J Valins DPM PA Foot Surgery CurrentSince Oct 5, 2015 Accepting new patients

Locations

936 Cypress Village Blvd
Sun City Center, FL 33573

936 Cypress Village Blvd
Ste B
Sun City Center, FL 33573
Phone (813) 633-5900

2336 Crestover Ln
Ste 102
Wesley Chapel, FL 33544
Phone (813) 788-3600

6326 Fort King Rd
Zephyrhills, FL 33542
Phone (813) 563-9308

2890 Dewey Ave
Rochester, NY 14616
Phone (585) 663-1370

Organizations & group practices 2

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.

Hospital & facility affiliations 5

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": "1162512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1446163200000",
    "number": "1609955145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6326 FORT KING RD",
            "city": "ZEPHYRHILLS",
            "state": "FL",
            "postal_code": "335422531",
            "telephone_number": "813-788-3600",
            "fax_number": "813-788-7010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6326 FORT KING RD",
            "city": "ZEPHYRHILLS",
            "state": "FL",
            "postal_code": "335422531",
            "telephone_number": "813-788-3600",
            "fax_number": "813-788-7010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALISE",
        "first_name": "DOMENICK",
        "middle_name": "ANTHONY",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-03",
        "last_updated": "2015-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "FL",
            "license": "PO3744",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "PO3744",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Zephyrhills, FL

Sources for this page

Verify at the official NPI Registry.