Individual provider Active NPI

Stephen George Calabrese, MD

  • Anesthesiology Physician
  • Fort Myers, FL
National Provider Identifier
1790139459
Registry record updated Aug 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
ME154263 Issued in FL
Practice address
11561 Caraway LN Apt 187
Fort Myers, FL 33908-1232
Phone
(908) 500-0577
NPI assigned
Apr 19, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X DR.0067117 CO
Anesthesiology Physician 207L00000X MD23783 ME
Anesthesiology Physician 207L00000X S1994 TX
Anesthesiology Physician 207L00000X ME154263 FL Primary

Addresses

Primary practice location

11561 Caraway LN Apt 187
Fort Myers, FL 33908-1232

Mailing address

11561 Caraway LN Apt 187
Fort Myers, FL 33908-1232
Phone (908) 500-0577

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, FL, TN3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20210224000005 TX Practitioner - Anesthesiology 8426474248 Reassigns benefits to 1 organization
I20220523002126 FL Practitioner - Anesthesiology 8426474248 Reassigns benefits to 1 organization
I20241212000626 TN Practitioner - Anesthesiology 8426474248 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Rutgers New Jersey Medical School, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Key West Anesthesia Services LLCGroup PAC ID 6204183833, 7 clinicians

Practice addresses (Care Compare)

5900 College Rd
Key West, FL 33040-4342
Phone (305) 294-5531

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DR.0067117COMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Key West Anesthesia Services LLC Anesthesiology CurrentSince Aug 29, 2024 Accepting new patients
Dallas Anesthesiology Associates, PA Anesthesiology CurrentSince Mar 1, 2021 Accepting new patients
Resource Anesthesiology Associates of TN PC Anesthesiology CurrentSince Sep 26, 2024 Accepting new patients

Locations

5900 W Junior College Rd
Key West, FL 33040
Phone (305) 294-5531

450 Mamaroneck Ave
Ste 201
Harrison, NY 10528
Phone (877) 476-6642

1265 Union Ave
Ste 201
Memphis, TN 38104
Phone (901) 516-7000

4144 N Central Expy
Ste 360
Dallas, TX 75204
Phone (214) 252-3511

3500 Gaston Ave
Dallas, TX 75246

Organizations & group practices 3

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.

Hospital & facility affiliations 1

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": "1461024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660867200000",
    "number": "1790139459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11561 CARAWAY LN APT 187",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339081232",
            "telephone_number": "908-500-0577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11561 CARAWAY LN APT 187",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339081232",
            "telephone_number": "908-500-0577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALABRESE",
        "first_name": "STEPHEN",
        "middle_name": "GEORGE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-04-19",
        "last_updated": "2022-08-19",
        "certification_date": "2022-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CO",
            "license": "DR.0067117",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "ME",
            "license": "MD23783",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "TX",
            "license": "S1994",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "FL",
            "license": "ME154263",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

Verify at the official NPI Registry.