Individual provider Active NPI

Douglas Alexander Calenda II, PA-C

  • Physician Assistant
  • Grapevine, TX
National Provider Identifier
1891306882
Registry record updated Dec 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA8066 Issued in MA
Practice address
2535 Ira E Woods Ave
Grapevine, TX 76051-3930
Phone
(817) 481-2121
NPI assigned
Aug 12, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2023

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 PA8066 MA Primary
Physician Assistant 363A00000X 2096 NH

Addresses

Primary practice location

2535 Ira E Woods Ave
Grapevine, TX 76051-3930

Mailing address

2535 Ira E Woods Ave
Grapevine, TX 76051-3930
Phone (817) 481-2121

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, NH2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20210514002329 MA Practitioner - Physician Assistant 1658780036 Reassigns benefits to 4 organizations
I20231004000361 NH Practitioner - Physician Assistant 1658780036 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northeast Orthopaedic Alliance PLLCGroup PAC ID 5991149809, 288 clinicians

Practice addresses (Care Compare)

150 Flanders Rd
Westborough, MA 01581-1017
Phone (781) 890-2133

323 Lowell St
Andover, MA 01810-4659
Phone (978) 794-1946

Hospital & facility affiliations

  • Merrimack Health Lawrence Hospital Hospital, Lawrence, MA, CCN 220010
  • Holy Family Hospital Hospital, Methuen, MA, CCN 220080
  • Northeast Rehabilitation Hospital Inpatient rehabilitation facility, Salem, NH, CCN 303026

Merit-based Incentive Payment System (MIPS)

Final score
74.33 of 100Reported as group
Quality
45.66
Promoting interoperability
100
Improvement activities
40
Cost
68.76

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2096NHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Orthopaedic Alliance PLLC CurrentSince Mar 1, 2024 Accepting new patients
Eone Medical PLLC CurrentSince Aug 1, 2023 Accepting new patients
Eone Medical Subsidiary PLLC CurrentSince Aug 1, 2023 Accepting new patients

Locations

62 Brown St
Ste 303
Haverhill, MA 01830
Phone (978) 556-9060

575 Turnpike St
Ste 11
North Andover, MA 01845
Phone (978) 327-6561

150 Flanders Rd
Westborough, MA 01581
Phone (508) 870-2222

103 Boulder Point Dr
Plymouth, NH 03264
Phone (603) 536-1284

16 Pelham Rd
Ste 1
Salem, NH 03079
Phone (603) 898-2244

Interoperability endpoints

  • Direct secure messaging: douglas.calenda.3@26085.direct.athenahealth.com

Organizations & group practices 6

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 3

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": "1597190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703116800000",
    "number": "1891306882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2535 IRA E WOODS AVE",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760513930",
            "telephone_number": "817-481-2121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2535 IRA E WOODS AVE",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760513930",
            "telephone_number": "817-481-2121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALENDA",
        "first_name": "DOUGLAS",
        "middle_name": "ALEXANDER",
        "name_suffix": "II",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-08-12",
        "last_updated": "2023-12-21",
        "certification_date": "2023-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MA",
            "license": "PA8066",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NH",
            "license": "2096",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grapevine, TX

Sources for this page

Verify at the official NPI Registry.