Individual provider Active NPI

Calvin N Tsao, M.D.

  • Family Medicine Physician
  • Federal Way, WA
National Provider Identifier
1962447755
Registry record updated Oct 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
M2162 Issued in TX
Practice address
505 S 336TH St Ste 500
Federal Way, WA 98003-8300
Phone
(206) 962-3535
NPI assigned
Jun 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X M2162 TX Primary

Addresses

Primary practice location

505 S 336TH St Ste 500
Federal Way, WA 98003-8300

Mailing address

7850 Parkwood Circle Dr
Suite A6
Houston, TX 77036-6759
Phone (713) 772-8885

Other practice location 1

7850 Parkwood Circle Dr
Suite A6
Houston, TX 77036-6759
Phone (713) 772-8885

Other identifiers 1

IdentifierTypeStateIssuer
8AJ711OtherTXBLUECROSS BLUESHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20250418000823 WA Order and Referring Only - Family PracticePractitioner - Family Practice 2264439843

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
M2162TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Memorial Hermann Health System Family Medicine Past Accepting new patients
Memorial Hermann Health System Past Accepting new patients
MHS Physicians of Texas Family Medicine Past Accepting new patients
Bonner Emergency Medicine Associates PA Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: ctsao@landmarkhealth-direct.org

Organizations & group practices 4

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572307200000",
    "number": "1962447755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7850 PARKWOOD CIRCLE DR",
            "address_2": "SUITE A6",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770366759",
            "telephone_number": "713-772-8885",
            "fax_number": "713-772-7825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 S 336TH ST STE 500",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980038300",
            "telephone_number": "206-962-3535"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7850 Parkwood Circle Dr",
            "address_2": "Suite A6",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770366759",
            "country_code": "US",
            "telephone_number": "713-772-8885",
            "fax_number": "713-772-7825",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TSAO",
        "first_name": "CALVIN",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-17",
        "last_updated": "2019-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "M2162",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHIELD",
            "identifier": "8AJ711",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Federal Way, WA

Sources for this page

Verify at the official NPI Registry.