Individual provider Active NPI

Juan Sebastian Calle-Toro, MD

  • Diagnostic Radiology Physician
  • Philadelphia, PA
National Provider Identifier
1629605472
Registry record updated Nov 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
MD491779 Issued in PA
Practice address
3400 Spruce Street
Philadelphia, PA 19104-4206
Phone
(215) 662-3000
Fax
(215) 662-7011
NPI assigned
Mar 23, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X MD491779 PA Primary

Addresses

Primary practice location

3400 Spruce Street
Philadelphia, PA 19104-4206

Mailing address

3400 Spruce Street
1 Silverstein
Philadelphia, PA 19104-4206
Phone (215) 662-3000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, PA, TX3 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
I20250917004473 FL Practitioner - Diagnostic Radiology 3173027653 Reassigns benefits to 1 organization
I20251031004127 PA Practitioner - Diagnostic Radiology 3173027653 Reassigns benefits to 1 organization
I20251122000103 TX Practitioner - Diagnostic Radiology 3173027653 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Smi Imaging LLCGroup PAC ID 3476696220, 380 clinicians
University of Penn-Medical GroupGroup PAC ID 6204730955, 3,433 clinicians
Simonmed Imaging Florida LLCGroup PAC ID 6608036108, 302 clinicians

Practice addresses (Care Compare)

Whitehouse, TX 75791
Phone (480) 306-6949

1501 River Pointe Dr
Suite 180
Conroe, TX 77304-2865
Phone (832) 838-4185

3400 Spruce St
Philadelphia, PA 19104-4238
Phone (215) 662-3000

7714 Louis Pasteur Dr
San Antonio, TX 78229-3530
Phone (480) 306-6949

9118 Vita Dolce Dr
Frisco, TX 75035-2300
Phone (480) 306-6949

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD491779PAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Health Diagnostics of California a Professional Corporation Diagnostic Radiology CurrentSince Sep 15, 2025 Accepting new patients
Smi Imaging, LLC Diagnostic Radiology CurrentSince Sep 15, 2025 Accepting new patients
University of Penn-Medical Group Current Accepting new patients
Radiology Imaging Specialists LLC Diagnostic Radiology CurrentSince Jul 10, 2025 Accepting new patients
University of Penn-Medical Group CurrentSince Nov 1, 2025 Accepting new patients
University of Penn-Medical Group CurrentSince Nov 1, 2025 Accepting new patients
Simonmed Imaging Florida LLC Diagnostic Radiology CurrentSince Sep 15, 2025 Accepting new patients
Radiology Imaging Specialists LLC Diagnostic Radiology PastSince Jun 6, 2021 Accepting new patients
Global Imaging Specialists, LLC Diagnostic Radiology PastSince Nov 1, 2020 Accepting new patients
Citizens Medical Center County of Victoria Past Accepting new patients

Locations

1203 SE 8th Ave
Cape Coral, FL 33990
Phone (239) 214-9003

208 W Oak St
Kissimmee, FL 34741
Phone (407) 788-2888

1714 SW 17th St
Ste 300
Ocala, FL 34471
Phone (352) 274-9565

2100 Creighton Rd
Pensacola, FL 32504
Phone (850) 332-4414

3624 Market St
Fl 2
Philadelphia, PA 19104
Phone (215) 615-3669

3400 Spruce St
Fl 1
Philadelphia, PA 19104
Phone (215) 662-3005

24600 Katy Fwy
Katy, TX 77494
Phone (346) 527-0245

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 10

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 3

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": "1584921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762732800000",
    "number": "1629605472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 SPRUCE STREET",
            "address_2": "1 SILVERSTEIN",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191044206",
            "telephone_number": "215-662-3000",
            "fax_number": "215-662-7011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 SPRUCE STREET",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191044206",
            "telephone_number": "215-662-3000",
            "fax_number": "215-662-7011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALLE-TORO",
        "first_name": "JUAN",
        "middle_name": "SEBASTIAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-03-23",
        "last_updated": "2025-11-10",
        "certification_date": "2025-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PA",
            "license": "MD491779",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.