Individual provider Active NPI

Michael G Callum, MD

  • Urology Physician
  • Salem, MA
National Provider Identifier
1750340089
Registry record updated Jun 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
152913 Issued in MA
Practice address
400 Highland Ave
Suite 6
Salem, MA 01970-7003
Phone
(978) 741-4133
Fax
(978) 741-7742
NPI assigned
Mar 23, 2006
Last updated
Jun 18, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 152913 MA Primary

Addresses

Primary practice location

400 Highland Ave
Suite 6
Salem, MA 01970-7003

Mailing address

400 Highland Ave
Suite 6
Salem, MA 01970-7003
Phone (978) 741-4133

Other identifiers 1

IdentifierTypeStateIssuer
0126560MedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
152913MAMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Steward Radiology Physicians of Arizona Inc PastSince Nov 6, 2010 Accepting new patients
Morton Hospital, a Steward Family Hospital, Inc. PastSince Oct 1, 2011 Accepting new patients
Steward Radiology Physicians of Pennsylvania Inc PastSince Nov 6, 2010 Accepting new patients
Riverwoods Surgery Center, LLC PastSince Sep 29, 2017 Accepting new patients
Permian Premier Health Services, Inc PastSince Aug 20, 2019 Accepting new patients
Steward Medical Group Inc. Past Accepting new patients
Steward Emergency Physicians, Inc PastSince Dec 11, 2017 Accepting new patients

Organizations & group practices 9

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": "1143072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276819200000",
    "number": "1750340089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 HIGHLAND AVE",
            "address_2": "SUITE 6",
            "city": "SALEM",
            "state": "MA",
            "postal_code": "019707003",
            "telephone_number": "978-741-4133",
            "fax_number": "978-741-7742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 HIGHLAND AVE",
            "address_2": "SUITE 6",
            "city": "SALEM",
            "state": "MA",
            "postal_code": "019707003",
            "telephone_number": "978-741-4133",
            "fax_number": "978-741-7742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALLUM",
        "first_name": "MICHAEL",
        "middle_name": "G",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-23",
        "last_updated": "2010-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "MA",
            "license": "152913",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0126560",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, MA

Sources for this page

Verify at the official NPI Registry.