DR. MARA BEATRIZ CHAVOLLA-CALDERON MD
NPI 1487889747
Pediatrics - Pediatric Critical Care Medicine in Brooklyn, NY

Q: What is the provider's specialty?

The provider's specialty is Pediatrics with taxonomy code 2080P0203X and a focus in Pediatric Critical Care Medicine.

Active since May 15, 2009PECOS Enrolled

4802 10TH AVE, BROOKLYN, NY 11219(718) 283-8854(718) 635-6331 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Dr. Mara Beatriz Chavolla-calderon Md NPPES

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

DR. MARA BEATRIZ CHAVOLLA-CALDERON MD (NPI 1487889747) is an individual pediatric critical care medicine provider in Brooklyn, New York, licensed in New York (274120) and active in the NPI registry since May 2009. She is enrolled in Medicare PECOS and maintains a secondary practice location in Salt Lake City.

NPPES Registry Identity

NPI1487889747

Entity TypeIndividualFemale

Primary Taxonomy2080P0203X

Provider Legal NameDR. MARA BEATRIZ CHAVOLLA-CALDERONCredential: MD

Location Address4802 10TH AVEBrooklyn, NY 11219-2916

Mailing Address10 Liberty St Apt 35fNew York, NY 10005-1553 · (646) 852-6547

Phone(718) 283-8854

Fax(718) 635-6331

Sole ProprietorYes

Enumeration DateMay 15, 2009

Last NPPES UpdateMarch 17, 2018

✔ NPI 1487889747 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric Critical Care MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080P0203X

Licenses✔ Licensed in NY · 274120✔ Licensed in UT · 7192637-1205

Definition

A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.

4802 10TH AVE, Brooklyn, NY 11219

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Secondary Practice Location 1

Location 1100 Mario Capecchi Dr, 3rd FloorSalt Lake City, UT 84113-1103 · Phone (801) 662-3645 · Fax (901) 662-3664

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Mara Beatriz Chavolla-calderon Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.