Active NPI
Lucie Calderon, MD
- Gastroenterology Physician
- Hermitage, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 73436
- Practice address
- 5653 Frist Blvd Ste 530
Hermitage, TN 37076-2067 - Phone
- (615) 885-1093
- Fax
- (615) 885-1110
- NPI assigned
- Mar 21, 2019
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 73436 | TN | Primary |
Addresses
Primary practice location
5653 Frist Blvd Ste 530
Hermitage, TN 37076-2067
Mailing address
PO Box 381468
Germantown, TN 38183-1468
Other practice location 1
660 S Mount Juliet Rd Ste 220
MT Juliet, TN 37122-3920
Phone (615) 885-1093
Other practice location 2
920 S Hartmann Dr Ste 310
Lebanon, TN 37090-4137
Phone (615) 885-1093
Other practice location 3
1115B Dow St
Murfreesboro, TN 37130-2487
Phone (615) 889-6699 ext. 66996
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Q101679 | Medicaid | TN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Gastroenterology
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5653 Frist Blvd
Suite 530
Hermitage, TN 37076-2067
Phone (615) 885-1093
Hospital & facility affiliations
- Tristar Summit Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 35 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 25 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| G I Diagnostic and Therapeutic Center LLC | Gastroenterology | Current | Accepting new patients |
| Gastroenterology Center of the Midsouth PLLC | Gastroenterology | Current | Accepting new patients |
Locations
Gastro Onegovt Arhcl
New York, NY 10087
1310 Wolf Park Dr
Germantown, TN 38138
Phone (901) 624-5151
5653 Frist Blvd
Ste 530
Hermitage, TN 37076
Phone (615) 885-1110
920 S Hartmann Dr
Ste 310
Lebanon, TN 37090
1325 Eastmoreland Ave
Ste 410
Memphis, TN 38104
Phone (901) 261-6650
660 S Mount Juliet Rd
Ste 220
Mt Juliet, TN 37122
1115B Dow St
Murfreesboro, TN 37130
Phone (615) 896-6996
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.
-
- Gastroenterology Physician
- Germantown, TN
- NPI 1417932492
-
- Endoscopy Clinic/Center
- Germantown, TN
- NPI 1760467732
Gastroenterology
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Hermitage, TN
- NPI 1982650024
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1553126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1770076800000",
"number": "1730649104",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 381468",
"city": "GERMANTOWN",
"state": "TN",
"postal_code": "381831468"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5653 FRIST BLVD STE 530",
"city": "HERMITAGE",
"state": "TN",
"postal_code": "370762067",
"telephone_number": "615-885-1093",
"fax_number": "615-885-1110"
}
],
"practiceLocations": [
{
"address_1": "660 S Mount Juliet Rd Ste 220",
"address_purpose": "LOCATION",
"city": "MT Juliet",
"state": "TN",
"postal_code": "371223920",
"country_code": "US",
"telephone_number": "615-885-1093",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "920 S Hartmann Dr Ste 310",
"address_purpose": "LOCATION",
"city": "Lebanon",
"state": "TN",
"postal_code": "370904137",
"country_code": "US",
"telephone_number": "615-885-1093",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1115B Dow St",
"address_purpose": "LOCATION",
"city": "Murfreesboro",
"state": "TN",
"postal_code": "371302487",
"country_code": "US",
"telephone_number": "615-889-6699 x66996",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CALDERON",
"first_name": "LUCIE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-03-21",
"last_updated": "2026-02-03",
"certification_date": "2026-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "TN",
"license": "73436",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "Q101679",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hermitage, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.