Individual provider Active NPI

John Benedict Calado, DO

  • Internal Medicine Physician
  • Troy, MI
National Provider Identifier
1972567113
Registry record updated Sep 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
5101012319 Issued in MI
Practice address
1639 E Big Beaver Rd Ste 202
Troy, MI 48083
Phone
(248) 606-4190
Fax
(248) 598-5088
NPI assigned
Apr 14, 2006
Last updated
Sep 20, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 5101012319 MI Primary

Addresses

Primary practice location

1639 E Big Beaver Rd Ste 202
Troy, MI 48083

Mailing address

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

Other practice location 1

75 Barclay Cir Ste 120
Rochester Hills, MI 48307
Phone (248) 606-4190

Other practice location 2

75 Barclay Cir Ste 120
Rochester Hills, MI 48307
Phone (248) 606-4190

Other identifiers 2

IdentifierTypeStateIssuer
MI9716OtherMIMEDICARE ID TYPE NONSPECIFIC
4085015MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20070502000015 MI Practitioner - Internal Medicine 1355447772 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Michigan State University College of Osteopathic Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Powerback Rehabilitation LLCGroup PAC ID 2365359932, shared by 106 NPIs, 600 clinicians

Practice addresses (Care Compare)

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

44003 Partridge Creek Blvd
Clinton TWP, MI 48038-0002
Phone (342) 627-3267

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5101012319MIMDInternal Medicine Physician

Interoperability endpoints

  • Direct secure messaging: john.calado.1@14624.direct.athenahealth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 15

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1144972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568937600000",
    "number": "1972567113",
    "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": "48083",
            "telephone_number": "248-606-4190",
            "fax_number": "248-598-5088"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "75 Barclay Cir Ste 120",
            "address_purpose": "LOCATION",
            "city": "Rochester Hills",
            "state": "MI",
            "postal_code": "48307",
            "country_code": "US",
            "telephone_number": "248-606-4190",
            "fax_number": "248-598-5088",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "75 Barclay Cir Ste 120",
            "address_purpose": "LOCATION",
            "city": "Rochester Hills",
            "state": "MI",
            "postal_code": "48307",
            "country_code": "US",
            "telephone_number": "248-606-4190",
            "fax_number": "248-598-5088",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CALADO",
        "first_name": "JOHN",
        "middle_name": "BENEDICT",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-14",
        "last_updated": "2019-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "5101012319",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID TYPE NONSPECIFIC",
            "identifier": "MI9716",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4085015",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, MI

Sources for this page

Verify at the official NPI Registry.