Individual provider Active NPI

Victoria Sandra Calo

  • Physician Assistant
  • Round Rock, TX
National Provider Identifier
1912637406
Registry record updated Jun 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA17100 Issued in TX
Practice address
201 Seton Pkwy
Round Rock, TX 78665-8000
Phone
(512) 324-4000
NPI assigned
Jun 16, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA17100 TX Primary

Addresses

Primary practice location

201 Seton Pkwy
Round Rock, TX 78665-8000

Mailing address

201 Seton Pkwy
Round Rock, TX 78665-8000
Phone (443) 253-8801

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, TX2 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
I20220912003091 NJ Practitioner - Physician Assistant 6709261738 Reassigns benefits to 1 organization
I20231204002702 TX Practitioner - Physician Assistant 6709261738 Reassigns benefits to 2 organizations

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
Seton Family of DoctorsGroup PAC ID 0941333280, 785 clinicians

Practice addresses (Care Compare)

201 Seton Pkwy
Round Rock, TX 78665-8000
Phone (512) 324-4000

6001 Kyle Pkwy
Kyle, TX 78640-6112
Phone (512) 504-5000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA17100TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Optum Medical Care of New Jersey PC CurrentSince Sep 1, 2022 Accepting new patients
Seton Family of Doctors CurrentSince Jul 26, 2024 Accepting new patients
Seton Family of Doctors CurrentSince Jul 26, 2024 Accepting new patients
A.G. Dikengil, MD, PA Past Accepting new patients

Locations

935 River Rd
Ste 301
Edgewater, NJ 07020
Phone (201) 471-7012

1 Harmon Plz
Fl 10
Secaucus, NJ 07094
Phone (201) 636-7233

1400 N Interstate 35
Ste 300
Austin, TX 78701
Phone (512) 324-8300

6001 Kyle Pkwy
Kyle, TX 78640
Phone (512) 504-5000

201 Seton Pkwy
Round Rock, TX 78665
Phone (512) 324-1010

Interoperability endpoints

  • Direct secure messaging: vcalo356815@christushealth.direct-ci.net

Organizations & group practices 5

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 1

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": "1655337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717459200000",
    "number": "1912637406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 SETON PKWY",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786658000",
            "telephone_number": "443-253-8801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 SETON PKWY",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786658000",
            "telephone_number": "512-324-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALO",
        "first_name": "VICTORIA",
        "middle_name": "SANDRA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-16",
        "last_updated": "2024-06-04",
        "certification_date": "2024-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA17100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Round Rock, TX

Sources for this page

Verify at the official NPI Registry.