ANTONIO CALDWELL M.ED., CCC-SLP
NPI 1093062986
Speech-Language Pathologist in Minneapolis, MN

Active since August 09, 2012Accepts Medicare Assignment
3514 LYNDALE AVE N, MINNEAPOLIS, MN 55412(612) 803-5038 Get Directions Write a Review

NPPES record last updated: November 1, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Antonio Caldwell M.ed., Ccc-slp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANTONIO CALDWELL M.ED., CCC-SLP (NPI 1093062986) is an individual speech-language pathologist provider in Minneapolis, Minnesota, licensed in Minnesota (9068) and active in the NPI registry since August 2012. He is a graduate of Other (2011).

NPPES Registry Identity

NPI1093062986
Entity TypeIndividualMale
Primary Taxonomy235Z00000X
Provider Legal NameANTONIO CALDWELLCredential: M.ED., CCC-SLP
Location Address3514 LYNDALE AVE NMinneapolis, MN 55412-2558
Mailing Address3514 Lyndale Ave NMinneapolis, MN 55412-2558 · (612) 803-5038
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateAugust 9, 2012
Last NPPES UpdateNovember 1, 2021
NPPES CertifiedNovember 1, 2021
✔ NPI 1093062986 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
License✔ Licensed in MN · 9068
Definition
The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
3514 LYNDALE AVE N, Minneapolis, MN 55412

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Antonio Caldwell M.ed., Ccc-slp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1951530062
PECOS Enrollment IDI20140213001201

Medicare Billing Reassignments

2

Medicare enrollment records show Antonio Caldwell reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Speech-Language Pathologist
3514 LYNDALE AVE N
Minneapolis, MN 55412
  • Reassigned Medicare billing, Minnesota enrollment
Rehabilitation
10540 METROPOLITAN AVE
Kensington, MD 20895
  • Reassigned Medicare billing, Minnesota enrollment
  • 11 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Speech-Language Pathologist
3514 LYNDALE AVE N
MINNEAPOLIS, MN 55412
Speech-Language Pathologist
3514 LYNDALE AVE N
MINNEAPOLIS, MN 55412
Speech-Language Pathologist
3514 LYNDALE AVE N
MINNEAPOLIS, MN 55412
Occupational Therapist
3514 LYNDALE AVE N
MINNEAPOLIS, MN 55412

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Antonio Caldwell's NPI number?

The NPI number for Antonio Caldwell is 1093062986. It was assigned to this individual provider in the NPPES registry on August 9, 2012.

Where is Antonio Caldwell located?

Antonio Caldwell practices at 3514 Lyndale Ave N, Minneapolis, MN 55412. The listed phone number is (612) 803-5038.

What is Antonio Caldwell's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Is Antonio Caldwell enrolled in Medicare?

Yes. Antonio Caldwell is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Antonio Caldwell's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Antonio Caldwell reassigns Medicare benefits to 2 organizations: Midwest Mobile Fees Assessments (Minneapolis, MN) and Onr National Speech Pathology Inc (Kensington, MD). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Antonio Caldwell's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Antonio Caldwell was last updated on November 1, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.