Individual provider Active NPI

Stuart C Calle, MD

  • Emergency Medicine Physician
  • Newington, CT
National Provider Identifier
1740399302
Registry record updated Feb 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
036038 Issued in CT
Practice address
66 Cedar St Ste 100
Newington, CT 06111-2655
Phone
(860) 436-3226
Fax
(860) 436-3229
NPI assigned
Aug 29, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 14, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 036038 CT Primary

Addresses

Primary practice location

66 Cedar St Ste 100
Newington, CT 06111-2655

Mailing address

66 Cedar St Ste 100
Newington, CT 06111-2655
Phone (860) 436-3226

Other identifiers 1

IdentifierTypeStateIssuer
036038OtherCTDEPT OF PUBLIC HEALTH LIC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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 1

Enrollment IDStateProvider typePAC IDDetails
I20071115000519 CT Practitioner - Emergency Medicine 6608844733 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Georgetown University School of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

66 Cedar St
Suite 100
Newington, CT 06111-2655
Phone (860) 436-3226

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036038CTMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
A Walk-in Medical Center Emergency Medicine CurrentSince Mar 2, 2007 Accepting new patients
The Hospital of Central Connecticut at New Britain General and Bradley Past Accepting new patients
The Hospital of Central Connecticut at New Britain General and Bradley Past Accepting new patients
A Walk-in Medical Center LLC Past Accepting new patients

Locations

66 Cedar St
Ste 100
Newington, CT 06111
Phone (860) 436-3226

365 Willard Ave
Ste 2E
Newington, CT 06111
Phone (860) 436-3226

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676332800000",
    "number": "1740399302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 CEDAR ST STE 100",
            "city": "NEWINGTON",
            "state": "CT",
            "postal_code": "061112655",
            "telephone_number": "860-436-3226",
            "fax_number": "860-436-3229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66 CEDAR ST STE 100",
            "city": "NEWINGTON",
            "state": "CT",
            "postal_code": "061112655",
            "telephone_number": "860-436-3226",
            "fax_number": "860-436-3229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALLE",
        "first_name": "STUART",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-29",
        "last_updated": "2023-02-14",
        "certification_date": "2023-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CT",
            "license": "036038",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT OF PUBLIC HEALTH LIC",
            "identifier": "036038",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newington, CT

Sources for this page

Verify at the official NPI Registry.