JOSHUA ALEXANDER CALDWELL MD
NPI 1285196188
Urology in Seattle, WA

Q: What is Joshua Caldwell's NPI number?

The NPI number for Joshua Caldwell is 1285196188. It was assigned to this individual provider in the NPPES registry on April 1, 2019.

Q: What is Joshua Caldwell's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Q: When was this NPI record last updated?

The NPPES record for Joshua Caldwell was last updated on August 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.

Active since April 01, 2019PECOS EnrolledAccepts Medicare Assignment

1959 NE PACIFIC ST, SEATTLE, WA 98195(206) 685-1982 Get Directions Write a Review

NPPES record last updated: August 15, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 15, 2025, Apr 1, 2019 (2 updates tracked since 2019).

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About Joshua Alexander Caldwell Md NPPES

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

JOSHUA ALEXANDER CALDWELL MD (NPI 1285196188) is an individual urology provider in Seattle, Washington, licensed in Nebraska (34548) and active in the NPI registry since April 2019. He is enrolled in Medicare PECOS, is affiliated with Hays Medical Center, and maintains a secondary practice location in Hays.

NPPES Registry Identity

NPI1285196188

Entity TypeIndividualMale

Primary Taxonomy208800000X

Provider Legal NameJOSHUA ALEXANDER CALDWELLCredential: MD

Location Address1959 NE PACIFIC STSeattle, WA 98195-0001

Mailing Address1959 Ne Pacific St, Campus Box 356510Seattle, WA 98195-0001 · (206) 685-1982

Phone(206) 685-1982

Sole ProprietorNo

Medical School CMSHarvard Medical SchoolGraduated 2019

Enumeration DateApril 1, 2019

Last NPPES UpdateAugust 15, 20252 updates tracked since enumeration

NPPES CertifiedAugust 13, 2025

✔ NPI 1285196188 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians

Taxonomy Code208800000X

Licenses✔ Licensed in NE · 34548✔ Licensed in KS · 0449175

Definition

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

1959 NE PACIFIC ST, Seattle, WA 98195

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Secondary Practice Location 1

Location 12214 Canterbury Dr Ste 308Hays, KS 67601-2385 · Phone (785) 628-6014

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Joshua Alexander Caldwell Md 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 ID9931531605

PECOS Enrollment IDI20240701003919, I20240703000459

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

60 services55 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

36 services36 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

35 services28 patients

Diagnostic exam of bladder and urethra using an endoscope 52000

This procedure involves using a thin, flexible tube with a light, called an endoscope, to examine the bladder and urethra. It helps in identifying any abnormalities or issues that may be causing discomfort or other symptoms.

21 services21 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

19 services19 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

15 services12 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Hays Medical Center

Acute Care Hospitals · Hays, KS

5/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number170013

Location2220 Canterbury DriveHays, KS 67601 · Ellis County

Emergency services Birthing friendly

Regional West Medical Center

Acute Care Hospitals · Scottsbluff, NE

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number280061

Location4021 Ave BScottsbluff, NE 69361 · Scott Bluff County

Emergency services Birthing friendly

Morrill County Community Hospital

Critical Access Hospitals · Bridgeport, NE

OwnershipGovernment - Local

CMS Certification Number281318

Location1313 S StreetBridgeport, NE 69336 · Morrill County

Emergency services

Sidney Regional Medical Center

Critical Access Hospitals · Sidney, NE

OwnershipVoluntary non-profit - Private

CMS Certification Number281357

Location1000 Pole Creek CrossingSidney, NE 69162 · Cheyenne County

Emergency services

Community Hospital

Critical Access Hospitals · Mccook, NE

3/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number281363

LocationP O Box 1328, 1301 East H StMccook, NE 69001 · Red Willow County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98195 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$143.76 typical visit price

range $63.67 – $189.37

Typical copayment $35.94 (range $15.91 – $47.34)

Most-billed visit code 99204

Established Patient

$78.74 typical visit price

range $21.12 – $155.00

Typical copayment $19.68 (range $5.28 – $38.75)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

LEONIE A NEVILLE PHARMD

Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)

1959 NE PACIFIC ST
SEATTLE, WA 98195

King County (206) 598-4874

ALISA BETH KACHIKIS M.D.

Obstetrics & Gynecology (Maternal & Fetal Medicine)

1959 NE PACIFIC ST, 3RD FLOOR SW 350
SEATTLE, WA 98195

King County (206) 598-4070

MS. MARY PATRICIA DODGE MS, OTR/L

Occupational Therapist

1959 NE PACIFIC ST, MAILBOX 356490
SEATTLE, WA 98195

King County (206) 598-4830

RIKA SHIRAKAWA M.D.

Ophthalmology

1959 NE PACIFIC ST, BOX 365485
SEATTLE, WA 98195

King County (206) 558-9616

VEDA TSOI M.D.

Anesthesiology

1959 NE PACIFIC ST
SEATTLE, WA 98195

King County (801) 556-7628

KATHRYN TAMURA PHARM.D.

Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)

1959 NE PACIFIC ST, BOX 356015
SEATTLE, WA 98195

King County (206) 598-6060

DR. MARK ROBERT, MICHAEL KILGORE M.D.

Pathology (Anatomic Pathology & Clinical Pathology)

1959 NE PACIFIC ST, BOX 356100
SEATTLE, WA 98195

King County (206) 598-1821

DR. SERKAN MEHMET SAHIN M.D.

Hospitalist

1959 NE PACIFIC ST
SEATTLE, WA 98195

King County (206) 543-6420

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 Joshua Caldwell's NPI number?

The NPI number for Joshua Caldwell is 1285196188. It was assigned to this individual provider in the NPPES registry on April 1, 2019.

Where is Joshua Caldwell located?

Joshua Caldwell practices at 1959 NE Pacific St, Seattle, WA 98195. The listed phone number is (206) 685-1982.

What is Joshua Caldwell's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Joshua Caldwell enrolled in Medicare?

Yes. Joshua 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.

What insurance does Joshua Caldwell accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and Blue Cross and Blue Shield of Kansas, Inc. and 3 other insurers list Joshua Caldwell as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Joshua Caldwell affiliated with any hospitals?

According to CMS data, Joshua Caldwell is affiliated with Hays Medical Center, Regional West Medical Center, Morrill County Community Hospital, Sidney Regional Medical Center and Community Hospital.

When was this NPI record last updated?

The NPPES record for Joshua Caldwell was last updated on August 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.