Individual provider Active NPI

Michael Joseph Caluda III III, MD

  • Surgery Physician
  • Pensacola, FL
National Provider Identifier
1922096254
Registry record updated Jan 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
ME76005 Issued in FL
Practice address
4012 N 9TH Ave
Pensacola, FL 32503-2824
Phone
(850) 444-4777
Fax
(850) 434-3387
NPI assigned
Oct 11, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 23130 LA
Surgery Physician 208600000X ME76005 FL Primary

Addresses

Primary practice location

4012 N 9TH Ave
Pensacola, FL 32503-2824

Mailing address

11945 San Jose Blvd
Suite 300
Jacksonville, FL 32223-1613
Phone (904) 396-1725

Other identifiers 1

IdentifierTypeStateIssuer
254242100MedicaidFL

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
I20101117000618 FL Practitioner - General Surgery 5698960532 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Tulane University School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Florida Surgeons PAGroup PAC ID 2769381391, 336 clinicians

Practice addresses (Care Compare)

4012 N 9TH Ave
Pensacola, FL 32503-2824
Phone (850) 444-4777

Hospital & facility affiliations

  • Sacred Heart Hospital Hospital, Pensacola, FL, CCN 100025
  • Gulf Breeze Hospital Hospital, Gulf Breeze, FL, CCN 100266
  • Baptist Hospital Hospital, Pensacola, FL, CCN 100093

Merit-based Incentive Payment System (MIPS)

Final score
81.79 of 100Reported as group
Quality
64.42
Promoting interoperability
100
Improvement activities
40
Cost
74.88

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)1-10
Mastectomy79
Melanoma (skin cancer) excision36
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME76005FLMDSurgery Physician
23130LAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Florida Surgeons, PA CurrentSince Jan 1, 2017 Accepting new patients
North Florida Surgeons, PA Surgery CurrentSince Jan 1, 2017 Accepting new patients

Locations

1118 Gulf Breeze Pkwy
Ste 200
Gulf Breeze, FL 32561
Phone (820) 916-7707

11945 San Jose Blvd
Ste 102
Jacksonville, FL 32223
Phone (904) 268-3937

836 Prudential Dr
Ste 1001
Jacksonville, FL 32207
Phone (904) 398-0004

11945 San Jose Blvd
Ste 300
Jacksonville, FL 32223

4012 N 9th Ave
Pensacola, FL 32503
Phone (850) 444-4777

5149 N 9th Ave
Ste G32
Pensacola, FL 32504
Phone (850) 416-0086

5149 N 9th Ave
Ste G27
Pensacola, FL 32504
Phone (850) 416-1487

Interoperability endpoints

  • Direct secure messaging: michael.caluda.1@9109.direct.athenahealth.com

Organizations & group practices 2

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": "1128988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516320000000",
    "number": "1922096254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11945 SAN JOSE BLVD",
            "address_2": "SUITE 300",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322231613",
            "telephone_number": "904-396-1725",
            "fax_number": "907-399-1717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4012 N 9TH AVE",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325032824",
            "telephone_number": "850-444-4777",
            "fax_number": "850-434-3387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALUDA III",
        "first_name": "MICHAEL",
        "middle_name": "JOSEPH",
        "name_suffix": "III",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-11",
        "last_updated": "2018-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "LA",
            "license": "23130",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "FL",
            "license": "ME76005",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "254242100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

Verify at the official NPI Registry.