NPIMap

Individual provider Active NPI

Daren J McCalla, MD

  • Orthopaedic Surgery of the Spine Physician
  • Stony Brook, NY
National Provider Identifier
1750623252
Registry record updated Nov 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X
License
315563 Issued in NY
Practice address
Stony Brook Medicine HSC T18 Room 020
Stony Brook, NY 11794-8181
Phone
(631) 444-2632
Fax
(631) 444-7671
NPI assigned
Mar 22, 2013
Last updated
Nov 21, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery of the Spine Physician 207XS0117X 315563 NY Primary
Orthopaedic Surgery of the Spine Physician 207XS0117X S3421 TX

Addresses

Primary practice location

Stony Brook Medicine HSC T18 Room 020
Stony Brook, NY 11794-8181

Mailing address

Stony Brook Medicine HSC T18 Room 020
Stony Brook, NY 11794-8181
Phone (631) 444-2632

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220820000249 NY Practitioner - Orthopedic Surgery 8325456379 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Columbia University College of Physicians and Surgeons, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

14 Technology Dr
Suite 11
East Setauket, NY 11733-3464
Phone (631) 444-4233

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion78
Laminectomy or laminotomy (partial removal of spine bones)51

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
315563NYMDOrthopaedic Surgery of the Spine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Stony Brook Orthopaedic Associates, University Faculty Practice Corpor CurrentSince Aug 29, 2022 Accepting new patients
FLH Medical, PC CurrentSince May 16, 2022 Accepting new patients
FLH Medical, PC CurrentSince May 16, 2022 Accepting new patients
University Hospital at Stony Brook Past Accepting new patients

Locations

8000 Box
Buffalo, NY 14267
Phone (716) 213-0772

430 Clifton Springs Professional Park
Clifton Springs, NY 14432
Phone (315) 462-3501

14 Technology Dr
Ste 11
East Setauket, NY 11733
Phone (631) 216-8187

141 Central Ave
Keuka Park, NY 14478
Phone (315) 279-5000

14 Technology Dr
Setauket, NY 11733
Phone (516) 444-1357

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1363910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668988800000",
    "number": "1750623252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "STONY BROOK MEDICINE HSC T18 ROOM 020",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117948181",
            "telephone_number": "631-444-2632",
            "fax_number": "631-444-7671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "STONY BROOK MEDICINE HSC T18 ROOM 020",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117948181",
            "telephone_number": "631-444-2632",
            "fax_number": "631-444-7671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCALLA",
        "first_name": "DAREN",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-03-22",
        "last_updated": "2022-11-21",
        "certification_date": "2022-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "NY",
            "license": "315563",
            "primary": true
        },
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "TX",
            "license": "S3421",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stony Brook, NY

Sources for this page

Verify at the official NPI Registry.