Organization Active NPI

JBC Mdvip PC

  • Internal Medicine Physician
  • Troy, MI
National Provider Identifier
1962863548
Registry record updated Jan 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
5101012319 Issued in MI
Legal business name
JBC MDVIP PC
Practice address
1639 E Big Beaver Rd Ste 202
Troy, MI 48083-2054
Phone
(248) 606-4190
Fax
(248) 598-5088
NPI assigned
Mar 10, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2020

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

Authorized official

Name
Dr. John B Calado, D.O.NPI 1972567113
Title
Owner
Phone
(248) 606-4190

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 5101012319 MI Primary

Addresses

Primary practice location

1639 E Big Beaver Rd Ste 202
Troy, MI 48083-2054

Mailing address

1639 E Big Beaver Rd Ste 202
Troy, MI 48083-2054
Phone (248) 606-4190

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160414001885 MI Part B Supplier - Clinic/Group Practice 8022316611 Receives reassigned benefits from 1 practitioner
Practice locations: Troy, MI

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
23D0371478JBC Mdvip PC1639 E Big Beaver Rd, Ste 202, Troy, MI 48083Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Locations

1639 E Big Beaver Rd
Ste 2
Troy, MI 48083

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1457568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1577923200000",
    "number": "1962863548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1639 E BIG BEAVER RD STE 202",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480832054",
            "telephone_number": "248-606-4190",
            "fax_number": "248-598-5088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1639 E BIG BEAVER RD STE 202",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480832054",
            "telephone_number": "248-606-4190",
            "fax_number": "248-598-5088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JBC MDVIP PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-10",
        "last_updated": "2020-01-02",
        "certification_date": "2020-01-02",
        "status": "A",
        "authorized_official_last_name": "CALADO",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-606-4190",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "5101012319",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.