Individual provider Active NPI

Moises Calero, PA-C

  • Physician Assistant
  • Patuxent River, MD
National Provider Identifier
1811696107
Registry record updated Sep 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
C0009035 Issued in MD
Practice address
47149 Buse Rd BLDG 1370
Patuxent River, MD 20670-1540
Phone
(301) 342-1419
NPI assigned
Feb 27, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA9117152 FL
Physician Assistant 363A00000X C0009035 MD Primary

Addresses

Primary practice location

47149 Buse Rd BLDG 1370
Patuxent River, MD 20670-1540

Mailing address

49888 Airedele Rd
Ridge, MD 20680-3350
Phone (941) 735-9114

Other practice location 1

9000 Woodyard Rd
Clinton, MD 20735-4206
Phone (240) 546-3428

Other practice location 2

3432 Holland Rd
Virginia Beach, VA 23452-4846
Phone (757) 468-1855

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address VAExchange@patientfirst.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC, VA3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20231214001374 MD Practitioner - Physician Assistant 8123493962 Reassigns benefits to 1 organization
I20231214001558 DC Practitioner - Physician Assistant 8123493962 Reassigns benefits to 1 organization
I20251030002735 VA Practitioner - Physician Assistant 8123493962 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1239 Cedar Rd
Chesapeake, VA 23322-7103
Phone (757) 549-9935

1605 General Booth Blvd
Virginia Beach, VA 23454-5691
Phone (757) 721-0512

2304 W Mercury Blvd
Hampton, VA 23666-3115
Phone (757) 951-1579

332 Newtown Rd
Virginia Beach, VA 23462-1793
Phone (757) 473-8400

3432 Holland Rd
Virginia Beach, VA 23452-4846
Phone (757) 468-1855

5486 Indian River Rd
Virginia Beach, VA 23464-5365
Phone (757) 424-2490

601 Potomac Station Dr
Leesburg, VA 20176-1816
Phone (703) 840-1396

611 Denbigh Blvd
Newport News, VA 23608-4415
Phone (757) 283-8300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PA9117152FLMDPhysician Assistant
C0009035MDMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Patient First Richmond Medical Group PLLC CurrentSince Jul 28, 2025 Accepting new patients
Patient First Richmond Medical Group PLLC CurrentSince Jul 28, 2025 Accepting new patients
Patient First Maryland Medical Group PLLC CurrentSince Nov 6, 2023 Accepting new patients

Locations

10210 Reisterstown Rd
Owings Mills, MD 21117
Phone (410) 902-6776

726 Rockville Pike
Rockville, MD 20852
Phone (240) 238-0411

2855 Crain Hwy
Waldorf, MD 20601
Phone (240) 427-1926

6311 Richmond Hwy
Alexandria, VA 22306
Phone (703) 647-6087

5000 Cox Rd
Glen Allen, VA 23060
Phone (804) 822-4355

601 Potomac Station Dr NE
Leesburg, VA 20176
Phone (703) 840-1396

3432 Holland Rd
Virginia Beach, VA 23452
Phone (757) 468-1855

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1677456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757894400000",
    "number": "1811696107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49888 AIREDELE RD",
            "city": "RIDGE",
            "state": "MD",
            "postal_code": "206803350",
            "telephone_number": "941-735-9114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47149 BUSE RD BLDG 1370",
            "city": "PATUXENT RIVER",
            "state": "MD",
            "postal_code": "206701540",
            "telephone_number": "301-342-1419"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9000 Woodyard Rd",
            "address_purpose": "LOCATION",
            "city": "Clinton",
            "state": "MD",
            "postal_code": "207354206",
            "country_code": "US",
            "telephone_number": "240-546-3428",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3432 Holland Rd",
            "address_purpose": "LOCATION",
            "city": "Virginia Beach",
            "state": "VA",
            "postal_code": "234524846",
            "country_code": "US",
            "telephone_number": "757-468-1855",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CALERO",
        "first_name": "MOISES",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-02-27",
        "last_updated": "2025-09-15",
        "certification_date": "2025-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9117152",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "C0009035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "VAExchange@patientfirst.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "3432 Holland Rd",
            "city": "Virginia Beach",
            "state": "VA",
            "country_code": "US",
            "postal_code": "234524846",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Patuxent River, MD

Sources for this page

Verify at the official NPI Registry.