Organization Active NPI

Diego H. Calonje M.D. PC

  • Retina Specialist (Ophthalmology) Physician
  • Tucson, AZ
National Provider Identifier
1740259142
Registry record updated Oct 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X
Legal business name
DIEGO H. CALONJE M.D. PC
Practice address
1951 N Wilmot Rd
Suite 15
Tucson, AZ 85712-8000
Phone
(520) 886-4080
Fax
(520) 594-9122
NPI assigned
Mar 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2018

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

Authorized official

Name
Diego Hernando Calonje, M.D.NPI 1790804961
Title
Ophthalmologist/Retina
Phone
(520) 886-4080

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Retina Specialist (Ophthalmology) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207WX0107X Primary

Addresses

Primary practice location

1951 N Wilmot Rd
Suite 15
Tucson, AZ 85712-8000

Mailing address

1951 N Wilmot Rd
Suite 15
Tucson, AZ 85712-8000
Phone (520) 886-4080

Other identifiers 1

IdentifierTypeStateIssuer
567844MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040625000472 AZ Part B Supplier - Clinic/Group Practice 9931185410 Receives reassigned benefits from 2 practitioners
Practice locations: Tucson, AZ

National Provider Directory

National Provider Directory

Locations

1101 N San Antonio Ave
Ste B
Douglas, AZ 85607

1187 W Frontage Rd
Rio Rico, AZ 85648

1181 E Fry Blvd
Sierra Vista, AZ 85635
Phone (520) 458-3241

445 N Silverbell Rd
Ste 15
Tucson, AZ 85745

301 W Ajo Way
Tucson, AZ 85713
Phone (520) 301-7883

2292 W Magee Rd
Tucson, AZ 85742
Phone (520) 797-2922

1951 N Wilmot Rd
Ste 15
Tucson, AZ 85712
Phone (520) 886-4080

231 W Ajo Way
Tucson, AZ 85713

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1142467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1540857600000",
    "number": "1740259142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1951 N WILMOT RD",
            "address_2": "SUITE 15",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857128000",
            "telephone_number": "520-886-4080",
            "fax_number": "520-594-9122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1951 N WILMOT RD",
            "address_2": "SUITE 15",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857128000",
            "telephone_number": "520-886-4080",
            "fax_number": "520-594-9122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIEGO H. CALONJE M.D. PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-16",
        "last_updated": "2018-10-30",
        "status": "A",
        "authorized_official_last_name": "CALONJE",
        "authorized_official_first_name": "DIEGO",
        "authorized_official_middle_name": "HERNANDO",
        "authorized_official_title_or_position": "OPHTHALMOLOGIST/RETINA",
        "authorized_official_telephone_number": "520-886-4080",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207WX0107X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology, Retina Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "567844",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.