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DR. RICARDO A. CALVO M.D.
NPI 1356384705
Specialist in Edison, NJ

Active since June 14, 2006PECOS EnrolledAccepts Medicare Assignment
83.5/100
CMS Quality Rating
2 LINCOLN HWY, SUITE 410, EDISON, NJ 08820(732) 318-6858(732) 906-8540 Get Directions Write a Review

NPPES record last updated: December 7, 2010. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Ricardo A. Calvo M.d. NPPES

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

DR. RICARDO A. CALVO M.D. (NPI 1356384705) is an individual specialist in Edison, New Jersey, licensed in New Jersey (25MA04579300) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Jfk Medical Center, and is a graduate of Baylor College Of Medicine (1981).

NPPES Registry Identity

NPI1356384705
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameDR. RICARDO A. CALVOCredential: M.D.
Location Address2 LINCOLN HWY, SUITE 410Edison, NJ 08820-3961
Mailing Address2 Lincoln Hwy, Suite 410Edison, NJ 08820-3961 · (732) 318-6858 · Fax (732) 906-8540
Phone(732) 318-6858
Fax(732) 906-8540
Sole ProprietorYes
Medical School CMSBaylor College Of MedicineGraduated 1981
Enumeration DateJune 14, 2006
Last NPPES UpdateDecember 7, 2010
✔ NPI 1356384705 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in NJ · 25MA04579300
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
2 LINCOLN HWY, Edison, NJ 08820
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Other Identifiers 3

Medicare UPINE22103NJ
Medicaid3830306NJ
Medicare ID-Type Unspecified560935NJ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware, Oscar Health.Insurance ›

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

Dr. Ricardo A. Calvo M.d. 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 ID9931208741
PECOS Enrollment IDI20070620000055
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.

Medicare Billing Reassignments

5

Medicare enrollment records show Ricardo Calvo reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Community Hospital Group Inc
0.2 mi
Specialist
80 JAMES ST, 4TH FLOOR
Edison, NJ 08820
  • Reassigned Medicare billing, New Jersey enrollment
  • 165 clinicians in this Medicare group
NPI 1225251754 (732) 632-1571
Hmh Hospitals Corporation
0.2 mi
Family Medicine
65 JAMES ST
Edison, NJ 08820
  • Reassigned Medicare billing, New Jersey enrollment
  • 164 clinicians in this Medicare group
NPI 1356016661 (732) 321-7000
Internal Medicine And Kidney Care, LLC
1.8 mi
Nephrology
209 PIERSON AVE
Edison, NJ 08837
  • Reassigned Medicare billing, New Jersey enrollment
  • 2 clinicians in this Medicare group
NPI 1215140801 (908) 757-6655
The New Jersey Imaging Network, LLC
19 mi
Radiology
197 RIDGEDALE AVE
Cedar Knolls, NJ 07927
  • Reassigned Medicare billing, New Jersey enrollment
  • 178 clinicians in this Medicare group
NPI 1629327887 (973) 322-4131
Hackensack Meridian Health Medical Group - Specialty Care PC
20 mi
Surgical Critical Care
331 NEWMAN SPRINGS RD STE 220
Red Bank, NJ 07701
  • Reassigned Medicare billing, New Jersey enrollment
  • 2,844 clinicians in this Medicare group
NPI 1215989249 (732) 807-0800

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

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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
267 services198 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.
155 services60 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
100 services100 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
96 services54 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
46 services46 patients
Ultrasound of heart, follow-up 93308
A follow-up ultrasound of the heart, also known as an echocardiogram, is a non-invasive test that uses sound waves to create images of your heart. It helps doctors monitor your heart's function and structures after initial assessment or treatment.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Jfk Medical Center

Acute Care Hospitals · Edison, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310108
Location65 James StreetEdison, NJ 08820 · Middlesex County
Emergency services Birthing friendly

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

83.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality70
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 16

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

GENERAL NEUROLOGY AND HEADACHE DISORDERS, P.A.
Clinic/Center (Medical Specialty)
2 LINCOLN HWY, SUITE 509
EDISON, NJ 08820
Middlesex County (732) 767-1500
CARDIOVASCULAR CONSULTANTS, PA
Specialist
2 LINCOLN HWY, SUITE 410
EDISON, NJ 08820
Middlesex County (732) 318-6858
TIE-BO FU MD
Anesthesiology
2 LINCOLN HWY, SUITE 500
EDISON, NJ 08820
Middlesex County (732) 494-1444
ACA ACUPUNCTURE NJ GROUP
Specialist
2 LINCOLN HWY, SUITE 311A
EDISON, NJ 08820
Middlesex County (732) 515-9889
EDISON DENTAL 27 PC
Dentist (General Practice)
2 LINCOLN HWY, STE 400
EDISON, NJ 08820
Middlesex County (732) 906-8883
MEND PA
Internal Medicine (Endocrinology, Diabetes & Metabolism)
2 LINCOLN HWY, 501
EDISON, NJ 08820
Middlesex County (732) 549-7470
SHENGPING ZOU, MD, LLC
Pain Medicine (Interventional Pain Medicine)
2 LINCOLN HWY, 109
EDISON, NJ 08820
Middlesex County (732) 494-9111
DR. MICHAEL RISIN M.D.
Plastic Surgery
2 LINCOLN HWY, SUITE 508
EDISON, NJ 08820
Middlesex County (732) 933-8788

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 Ricardo Calvo's NPI number?

The NPI number for Ricardo Calvo is 1356384705. It was assigned to this individual provider in the NPPES registry on June 14, 2006.

Where is Ricardo Calvo located?

Ricardo Calvo practices at 2 Lincoln Hwy Suite 410, Edison, NJ 08820. The listed phone number is (732) 318-6858.

What is Ricardo Calvo's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Ricardo Calvo enrolled in Medicare?

Yes. Ricardo Calvo 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 Ricardo Calvo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ricardo Calvo reassigns Medicare benefits to 5 organizations: Community Hospital Group Inc (Edison, NJ), Hmh Hospitals Corporation (Edison, NJ), Internal Medicine And Kidney Care, LLC (Edison, NJ), The New Jersey Imaging Network, LLC (Cedar Knolls, NJ) and Hackensack Meridian Health Medical Group - Specialty Care PC (Red Bank, NJ). 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 Ricardo Calvo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ricardo Calvo accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health list Ricardo Calvo 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 Ricardo Calvo affiliated with any hospitals?

According to CMS data, Ricardo Calvo is affiliated with Jfk Medical Center.

When was this NPI record last updated?

The NPPES record for Ricardo Calvo was last updated on December 7, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.