Mario A Calonje, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

008464 Issued in LA

Practice address

1834 Upperline St
New Orleans, LA 70115-5548

Phone

(504) 891-7330

Fax

(504) 269-8612

NPI assigned

Mar 19, 2013

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Mario A Calonje Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Diagnostic Imaging Services

  • Magnetic Resonance Imaging (MRI) Internal Medicine Physician
  • Metairie, LA
  • NPI 1699793166
  NPD (past)

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

{
    "created_epoch": "1363651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363651200000",
    "number": "1780926659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1834 UPPERLINE ST",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701155548",
            "telephone_number": "504-891-7330",
            "fax_number": "504-269-8612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1834 UPPERLINE ST",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701155548",
            "telephone_number": "504-891-7330",
            "fax_number": "504-269-8612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALONJE",
        "first_name": "MARIO",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-03-19",
        "last_updated": "2013-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "LA",
            "license": "008464",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIO",
            "last_name": "CALONJE",
            "middle_name": "A",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Andrew Brandon Callan, MD
• Brenda Moley Callegari
• Jordan Callender, M.D.
• Andrea Calloway
• Paul Caloian, CRNA
• Bobby Joesph Calvin
• Amanda Calvo, PA-C
• Stephanie Lopez Calvo, LOTR
• Kawehionalani Camacho
• Brian Cambel

• Specialist in New Orleans, LA
• Providers in New Orleans, LA by specialty
• Specialist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.