Individual provider Active NPI

Magdy Ayad Kaldas, MD

  • Emergency Medicine Physician
  • Wauchula, FL
National Provider Identifier
1821041153
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
ME71928 Issued in FL
Practice address
533 Carlton St
Wauchula, FL 33873-3407
Phone
(863) 767-8270
NPI assigned
May 18, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X ME71928 FL Primary

Addresses

Primary practice location

533 Carlton St
Wauchula, FL 33873-3407

Mailing address

4609 Sweetmeadow Cir
Sarasota, FL 34238-4334
Phone (941) 921-1498

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
I20041231000002 FL Practitioner - Emergency MedicinePractitioner - Internal Medicine 0446153944 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Small Hospital Innovations LLC Emergency Medicine CurrentSince Dec 15, 2016 Accepting new patients
Desoto County Hospital District CurrentSince Jul 1, 2010 Accepting new patients
Sebring Emergency Physicians LLC Emergency Medicine Past Accepting new patients

Locations

888 N Robert Ave
Arcadia, FL 34266
Phone (863) 494-8401

900 N Robert Ave
Arcadia, FL 34266
Phone (863) 494-8426

524 W Sagamore Ave
Clewiston, FL 33440
Phone (800) 494-3984

Networks

  • Optimum HealthCare HMO Network

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, 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": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1821041153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4609 SWEETMEADOW CIR",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342384334",
            "telephone_number": "941-921-1498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "533 CARLTON ST",
            "city": "WAUCHULA",
            "state": "FL",
            "postal_code": "338733407",
            "telephone_number": "863-767-8270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALDAS",
        "first_name": "MAGDY",
        "middle_name": "AYAD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "ME71928",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wauchula, FL

Sources for this page

Verify at the official NPI Registry.