Active NPI
Gregg W Calderwood, M.D.
- Obstetrics & Gynecology Physician
- West Burlington, IA
National Provider Identifier
1730140898
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 22096
- Practice address
- 1223 S Gear Ave
Ste 208
West Burlington, IA 52655-1682 - Phone
- (319) 752-4541
- Fax
- (319) 752-2972
- NPI assigned
- Mar 29, 2006
- Last updated
- Nov 6, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 22096 | IA | Primary |
Addresses
Primary practice location
1223 S Gear Ave
Ste 208
West Burlington, IA 52655-1682
Mailing address
1223 S Gear Ave
Ste 208
West Burlington, IA 52655-1682
Phone (319) 752-4541
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730140898 | Other | IA | WELLMARK |
| 1730140898 | Medicaid | IA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 77.06 of 100
- Quality
- 64.36
- Promoting interoperability
- 81
- Improvement activities
- 40
- Cost
- 75.01
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22096 | IA | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southeast Iowa Regional Medical Center, Inc. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
dba Great River Home Health and Hospice
- Community Based Hospice Care Agency
- West Burlington, IA
- NPI 1053315002
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143590400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1352160000000",
"number": "1730140898",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1223 S GEAR AVE",
"address_2": "STE 208",
"city": "WEST BURLINGTON",
"state": "IA",
"postal_code": "526551682",
"telephone_number": "319-752-4541",
"fax_number": "319-752-2972"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1223 S GEAR AVE",
"address_2": "STE 208",
"city": "WEST BURLINGTON",
"state": "IA",
"postal_code": "526551682",
"telephone_number": "319-752-4541",
"fax_number": "319-752-2972"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CALDERWOOD",
"first_name": "GREGG",
"middle_name": "W",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-29",
"last_updated": "2012-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "IA",
"license": "22096",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLMARK",
"identifier": "1730140898",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1730140898",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in West Burlington, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.