DR. CARMELLA DAWN CALDWELL M.D.
NPI 1396031282
Family Medicine in Kansas City, MO
About Dr. Carmella Dawn Caldwell M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. CARMELLA DAWN CALDWELL M.D. (NPI 1396031282) is an individual family medicine provider in Kansas City, Missouri, licensed in Missouri (2011017846) and active in the NPI registry since June 2011. She is enrolled in Medicare PECOS, is affiliated with Harris Health System, and is a graduate of Other (2013).
NPPES Registry Identity
Specialties & Licenses
Accepted 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. Carmella Dawn Caldwell 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.
Medicare Billing Reassignment
Medicare enrollment records show Carmella Caldwell reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Houston, TX 77030
- Reassigned Medicare billing, Texas enrollment
- 2,296 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.
Areas of Expertise CMS Part B claims
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Harris Health System
Acute Care Hospitals · Houston, TXPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 64131 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
KANSAS CITY, MO 64131
KANSAS CITY, MO 64131
KANSAS CITY, MO 64131
KANSAS CITY, MO 64131
KANSAS CITY, MO 64131
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 Carmella Caldwell's NPI number?
The NPI number for Carmella Caldwell is 1396031282. It was assigned to this individual provider in the NPPES registry on June 20, 2011.
Where is Carmella Caldwell located?
Carmella Caldwell practices at 6675 Holmes Rd Ste 450, Kansas City, MO 64131. The listed phone number is (816) 276-7600.
What is Carmella Caldwell's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Carmella Caldwell enrolled in Medicare?
Yes. Carmella 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 organization bills Medicare for Carmella Caldwell's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Carmella Caldwell reassigns Medicare benefits to Baylor College Of Medicine (Houston, TX). The 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 Carmella Caldwell's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Carmella Caldwell accept?
Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 1 other insurer list Carmella 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 Carmella Caldwell affiliated with any hospitals?
According to CMS data, Carmella Caldwell is affiliated with Harris Health System.
When was this NPI record last updated?
The NPPES record for Carmella Caldwell was last updated on June 20, 2011. 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.
# Dr. Carmella Dawn Caldwell, M.D. · NPI 1396031282
Family Medicine physician in Kansas City, Missouri. Individual provider, active in the CMS NPPES registry since June 20, 2011.
## Identity
- **NPI:** 1396031282 (Entity type: Individual)
- **Enumerated:** June 20, 2011
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 2011017846 (Missouri)
- **Sole proprietor:** No
## Practice location
- **Address:** 6675 HOLMES RD STE 450, Kansas City, MO 64131-1173
- **Phone:** (816) 276-7600
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Baylor College Of Medicine (NPI 1053352914, Houston, TX), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2013
## Record status
- **NPPES last updated:** June 20, 2011
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Source: [NPI Profile](https://npiprofile.com/npi/1396031282) · Data from the CMS NPPES public registry.