Individual provider Active NPI

Barbara Maday Calderon Izquierdo, MD

  • General Practice Physician
  • Lutz, FL
National Provider Identifier
1770004806
Registry record updated Mar 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
ME178010 Issued in FL
Practice address
1563 Land O Lakes Blvd
Lutz, FL 33549-2930
Phone
(813) 949-4224
Fax
(866) 372-2717
NPI assigned
Jun 28, 2017
Last updated
Mar 25, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 25, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X ME178010 FL Primary

Addresses

Primary practice location

1563 Land O Lakes Blvd
Lutz, FL 33549-2930

Mailing address

1711 W Atkinson St
Tampa, FL 33604-1015
Phone (305) 394-2471

Other practice location 1

PO Box 4055
Aguadilla, PR 00605-4055
Phone (787) 658-0000

Other practice location 2

11211 N Nebraska Ave Ste A5
Tampa, FL 33612
Phone (813) 514-2333

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address barbara.calderon.izquierdo.1@29601.direct.athenahealth.com
Direct Messaging Address barbara.calderon.izquierdo.2@29601.direct.athenahealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20190220002707 FL Practitioner - Family PracticePractitioner - Pain Management 9032457874 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Pain Management
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Conviva Medical Center Management, LLCGroup PAC ID 4284717422, 507 clinicians

Practice addresses (Care Compare)

1563 Land O Lakes Blvd
Lutz, FL 33549-2930
Phone (813) 949-4224

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME178010FLMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Conviva Medical Center Management LLC General Practice CurrentSince Jun 5, 2023 Accepting new patients
Dol Physicians of America CurrentSince May 12, 2024 Accepting new patients

Locations

5238 Norwood Ave
#16
Jacksonville, FL 32208
Phone (904) 265-2050

1563 Land O Lakes Blvd
Lutz, FL 33549
Phone (813) 345-3831

4509 N Armenia Ave
Tampa, FL 33603
Phone (813) 841-8553

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: barbara.calderon.izquierdo.1@29601.direct.athenahealth.com
  • Direct secure messaging: barbara.calderon.izquierdo.2@29601.direct.athenahealth.com

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, 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": "1498608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774396800000",
    "number": "1770004806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1711 W ATKINSON ST",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336041015",
            "telephone_number": "305-394-2471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1563 LAND O LAKES BLVD",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335492930",
            "telephone_number": "813-949-4224",
            "fax_number": "866-372-2717"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "PO Box 4055",
            "address_purpose": "LOCATION",
            "city": "Aguadilla",
            "state": "PR",
            "postal_code": "006054055",
            "country_code": "US",
            "telephone_number": "787-658-0000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11211 N Nebraska Ave Ste A5",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "33612",
            "country_code": "US",
            "telephone_number": "813-514-2333",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CALDERON IZQUIERDO",
        "first_name": "BARBARA",
        "middle_name": "MADAY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-28",
        "last_updated": "2026-03-25",
        "certification_date": "2026-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ME178010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "barbara.calderon.izquierdo.1@29601.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "barbara.calderon.izquierdo.1@29601.direct.athenahealth.com",
            "address_1": "1563 Land O Lakes Blvd",
            "city": "Lutz",
            "state": "FL",
            "country_code": "US",
            "postal_code": "335492930",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "barbara.calderon.izquierdo.2@29601.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "barbara.calderon.izquierdo.2@29601.direct.athenahealth.com",
            "address_1": "1563 Land O Lakes Blvd",
            "city": "Lutz",
            "state": "FL",
            "country_code": "US",
            "postal_code": "335492930",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lutz, FL

Sources for this page

Verify at the official NPI Registry.