NPIMap

Individual provider Active NPI

Elmer D Calica, M.D.

  • Emergency Medicine Physician
  • Cass City, MI
National Provider Identifier
1932392438
Registry record updated Nov 2, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
4301089497 Issued in MI
Practice address
4675 Hill St
Cass City, MI 48726-1008
Phone
(989) 872-2121
Fax
(989) 872-5376
NPI assigned
Aug 20, 2007
Last updated
Nov 2, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 4301089497 MI Primary

Addresses

Primary practice location

4675 Hill St
Cass City, MI 48726-1008

Mailing address

4675 Hill St
Cass City, MI 48726-1008
Phone (989) 872-2121

Other identifiers 1

IdentifierTypeStateIssuer
4301089497OtherMILICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080110000611 MN Practitioner - Emergency MedicinePractitioner - Family Practice 6507953825 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Francis Medical CenterGroup PAC ID 8123937992, shared by 4 NPIs, 16 clinicians

Practice addresses (Care Compare)

2400 St Francis Dr
Breckenridge, MN 56520-1025
Phone (218) 643-3000

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Perham Hospital District CurrentSince May 10, 2019 Accepting new patients
St. Francis Medical Center Current Accepting new patients
Sanford Health Network Emergency Medicine Current Accepting new patients
Centracare Health System - Melrose CurrentSince Mar 31, 2016 Accepting new patients
Minnesota Valley Health Center Inc Current Accepting new patients
St. Francis Medical Center CurrentSince Mar 18, 2019 Accepting new patients
Perham Hospital District Emergency Medicine CurrentSince May 10, 2019 Accepting new patients
Mahnomen Health Center CurrentSince Dec 28, 2024 Accepting new patients
United Hospital District Inc. PastSince Oct 31, 2021 Accepting new patients
St Francis Medical Center Past Accepting new patients

Locations

3293 Solutions Ctr
Chicago, IL 60677

2400 St Francis Dr
Breckenridge, MN 56520
Phone (218) 643-0226

1601 Sioux Valley Dr
Luverne, MN 56156
Phone (507) 283-4476

414 W Jefferson Ave
Mahnomen, MN 56557
Phone (218) 935-2511

525 Main St W
Melrose, MN 56352
Phone (320) 256-4228

105 Otter Dr
Ottertail, MN 56571
Phone (218) 367-6111

1000 Coney St W
Perham, MN 56573
Phone (218) 347-1200

249 5th St E
Tracy, MN 56175
Phone (507) 629-3520

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1187568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193961600000",
    "number": "1932392438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4675 HILL ST",
            "city": "CASS CITY",
            "state": "MI",
            "postal_code": "487261008",
            "telephone_number": "989-872-2121",
            "fax_number": "989-872-5376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4675 HILL ST",
            "city": "CASS CITY",
            "state": "MI",
            "postal_code": "487261008",
            "telephone_number": "989-872-2121",
            "fax_number": "989-872-5376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALICA",
        "first_name": "ELMER",
        "middle_name": "D",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-20",
        "last_updated": "2007-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MI",
            "license": "4301089497",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "4301089497",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cass City, MI

Sources for this page

Verify at the official NPI Registry.