Individual provider Active NPI

Lisa Maria Calvo, MD

  • Neurology with Special Qualifications in Child Neurology Physician
  • Chapel Hill, NC
National Provider Identifier
1821595760
Registry record updated Jun 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology with Special Qualifications in Child Neurology PhysicianTaxonomy code 2084N0402X
License
2024-01648 Issued in NC
Practice address
170 Manning Drive Pob CB# 7025
Chapel Hill, NC 27599-4191
Phone
(919) 966-6727
NPI assigned
Apr 8, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 27, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology with Special Qualifications in Child Neurology Physician 2084N0402X ME162224 FL
Student in an Organized Health Care Education/Training Program 390200000X
Neurology with Special Qualifications in Child Neurology Physician 2084N0402X 2024-01648 NC Primary

Addresses

Primary practice location

170 Manning Drive Pob CB# 7025
Chapel Hill, NC 27599-4191

Mailing address

170 Manning Drive Campus Box #7025
Chapel Hill, NC 27599-7235
Phone (919) 966-8162

Other practice location 1

508 S Habana Ave Ste 340
Tampa, FL 33609-4191
Phone (813) 873-7367

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20240924002952 NC Order and Referring Only - NeurologyPractitioner - Neurology 2567903032

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME162224FLMDNeurology with Special Qualifications in Child Neurology Physician
2024-01648NCMDNeurology with Special Qualifications in Child Neurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatric Epilepsy and Neurology Specialists PastSince May 1, 2024 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: lcalvo1157887@direct.unc.nchie.net

Organizations & group practices 1

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": "1523145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719446400000",
    "number": "1821595760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 MANNING DRIVE CAMPUS BOX #7025",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275997235",
            "telephone_number": "919-966-8162",
            "fax_number": "919-966-2922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 MANNING DRIVE POB CB# 7025",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275994191",
            "telephone_number": "919-966-6727"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "508 S Habana Ave Ste 340",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336094191",
            "country_code": "US",
            "telephone_number": "813-873-7367",
            "fax_number": "813-875-9722",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CALVO",
        "first_name": "LISA",
        "middle_name": "MARIA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-04-08",
        "last_updated": "2024-06-27",
        "certification_date": "2024-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0402X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
            "state": "FL",
            "license": "ME162224",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084N0402X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
            "state": "NC",
            "license": "2024-01648",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chapel Hill, NC

Sources for this page

Verify at the official NPI Registry.