Individual provider Active NPI

Phillip Calaj, DPM

  • Foot & Ankle Surgery Podiatrist
  • Clermont, FL
National Provider Identifier
1922627793
Registry record updated Feb 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
PO4355 Issued in FL
Practice address
2020 Oakley Seaver Dr Ste 3
Clermont, FL 34711-1902
Phone
(352) 242-0404
Fax
(352) 242-0877
NPI assigned
Apr 13, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 21, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X FL
Foot & Ankle Surgery Podiatrist 213ES0103X PO4355 FL Primary

Addresses

Primary practice location

2020 Oakley Seaver Dr Ste 3
Clermont, FL 34711-1902

Mailing address

2020 Oakley Seaver Dr Ste 3
Clermont, FL 34711-1902
Phone (352) 242-0404

Other practice location 1

2501 N Orange Ave Ste 235
Orlando, FL 32804-4659
Phone (407) 303-5990

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230531001617 FL Practitioner - Podiatry 0143650440 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Barry University School of Podiatric Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physician Business Alliance IncGroup PAC ID 3678657533, 13 clinicians

Practice addresses (Care Compare)

2020 Oakley Seaver Dr
Suite 3
Clermont, FL 34711-1902
Phone (352) 242-0404

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.5 of 100Reported as group
Quality
92.99
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue25
Removal of nail tissue15
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Physician Business Alliance Inc CurrentSince Jul 22, 2023 Accepting new patients

Locations

2020 Oakley Seaver Dr
Clermont, FL 34711
Phone (352) 242-0404

2020 Oakley Seaver Dr
Ste 3
Clermont, FL 34711
Phone (352) 242-0404

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.

Hospital & facility affiliations 2

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": "1586736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676937600000",
    "number": "1922627793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 OAKLEY SEAVER DR STE 3",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347111902",
            "telephone_number": "352-242-0404",
            "fax_number": "352-242-0877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 OAKLEY SEAVER DR STE 3",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347111902",
            "telephone_number": "352-242-0404",
            "fax_number": "352-242-0877"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2501 N Orange Ave Ste 235",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328044659",
            "country_code": "US",
            "telephone_number": "407-303-5990",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CALAJ",
        "first_name": "PHILLIP",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-04-13",
        "last_updated": "2023-02-21",
        "certification_date": "2023-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "FL",
            "license": "PO4355",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clermont, FL

Sources for this page

Verify at the official NPI Registry.