RANDALL L CALDWELL MD NPI 1073621033

NPI Information

NPI: 1073621033
Provider Name: RANDALL L CALDWELL, MD
Classification: Pediatrics - 2080P0202X
Entity Type: Individual

Specialization: Pediatric Cardiology

Address:
705 RILEY HOSPITAL DR
RR 127
INDIANAPOLIS, IN
ZIP 46202
Phone: (317) 274-8906
Get Directions

Randall L Caldwell, MD is a pediatric cardiology pediatrics in Indianapolis, IN. The provider is a pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease. Randall L Caldwell, MD NPI is 1073621033. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

705 RILEY HOSPITAL DR
RR 127
INDIANAPOLIS, IN
ZIP 46202-109
Phone: (317) 274-8906
Fax: (317) 274-4022

The enumeration date for this NPI number is 8/29/2006 and was last updated on 9/17/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2080P0202X	Pediatrics	Pediatric Cardiology	01023836	INDIANA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	145590I	MEDICARE ID-TYPE UNSPECIFIED		UPA-237328642
2	350593390-042	OTHER		TRICARE-DEAC-350593390
3	182780S	MEDICARE ID-TYPE UNSPECIFIED		DEACONESS-350593390
4	0472902	MEDICAID	OHIO
5	1073621033	MEDICAID	MICHIGAN
6	100061190	MEDICAID	INDIANA
7	000000354895	OTHER		ANTHEM-DEAC-350593390
8	C24322	MEDICARE UPIN
9	64882236	MEDICAID	KENTUCKY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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