Individual provider Active NPI

Rebecca M Calder, P.A.-C

  • Physician Assistant
  • Philadelphia, PA
National Provider Identifier
1881993988
Registry record updated May 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA054822 Issued in PA
Practice address
253 S 10TH St
Philadelphia, PA 19107-5751
Phone
(215) 829-0170
NPI assigned
Mar 15, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 28, 2020

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 MA054822 PA Primary
Medical Physician Assistant 363AM0700X OA002620 PA

Addresses

Primary practice location

253 S 10TH St
Philadelphia, PA 19107-5751

Mailing address

253 S 10TH St
Philadelphia, PA 19107-5751
Phone (215) 829-0170

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20140709002046 PA Practitioner - Physician Assistant 7719102615 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
On Demand Urgent Care Group PCGroup PAC ID 5991029712, 95 clinicians

Practice addresses (Care Compare)

1305 W Chester Pike
Havertown, PA 19083-2929
Phone (610) 482-4949

3356 Aramingo Ave
Philadelphia, PA 19134-4506
Phone (215) 999-3356

4190 City Ave
Suite 101
Philadelphia, PA 19131-1627
Phone (215) 857-5300

4808 Edgmont Ave
Brookhaven, PA 19015-1400
Phone (610) 876-3072

599 E Lancaster Ave
St Davids, PA 19087-5109
Phone (484) 254-4984

Merit-based Incentive Payment System (MIPS)

Final score
86.37 of 100Reported as group
Quality
70.23
Promoting interoperability
100
Improvement activities
40
Cost
77.22

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
MA054822PAMDPhysician Assistant
OA002620PAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Drexel University CurrentSince Jan 19, 2015 Accepting new patients
Drexel University CurrentSince Jan 19, 2015 Accepting new patients
Atlantic Physician Services of Maryland, PC Physician Assistant CurrentSince Nov 1, 2018 Accepting new patients
Emergency Care Services of Pennsylvania, P.C. Physician Assistant CurrentSince Jun 1, 2020 Accepting new patients
Mazzoni Center Past Accepting new patients
Humboldt Emergency Physicians LLC Physician Assistant Past Accepting new patients
Triangle Medical, Inc. Past Accepting new patients
On Demand Urgent Care Group PC Past Accepting new patients

Locations

501 Bath Rd
Ph
Bristol, PA 19007
Phone (215) 785-9200

300 Highland Ave
Hanover, PA 17331
Phone (717) 316-3711

2701 DeKalb Pike
Norristown, PA 19401
Phone (215) 335-6000

1201 Langhorne Newtown Rd
Penndel, PA 19047
Phone (215) 710-2100

1427 Vine St
Fl 2
Philadelphia, PA 19102
Phone (215) 762-2530

230 N Broad St
Philadelphia, PA 19102
Phone (215) 255-3828

700 E Norwegian St
Pottsville, PA 17901
Phone (570) 621-4000

2500 Bernville Rd
Reading, PA 19605
Phone (610) 378-2300

Interoperability endpoints

  • Direct secure messaging: rebecca.calder.1@14965.direct.athenahealth.com

Organizations & group practices 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1300147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590624000000",
    "number": "1881993988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "253 S 10TH ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191075751",
            "telephone_number": "215-829-0170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "253 S 10TH ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191075751",
            "telephone_number": "215-829-0170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALDER",
        "first_name": "REBECCA",
        "middle_name": "M",
        "name_prefix": "Miss",
        "credential": "P.A.-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-03-15",
        "last_updated": "2020-05-28",
        "certification_date": "2020-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA054822",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "OA002620",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.