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

Q: What is Mara Chavolla-calderon's NPI number?

The NPI number for Mara Chavolla-calderon is 1487889747. It was assigned to this individual provider in the NPPES registry on May 15, 2009.

Q: What is Mara Chavolla-calderon's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

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: November 01, 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, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

Medicare enrollment records show Mara Chavolla-calderon reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Maimonides Faculty Practice Plan

Same address

Internal Medicine

4802 10TH AVE
Brooklyn, NY 11219

Reassigned Medicare billing, New York enrollment
1,177 clinicians in this Medicare group

NPI 1053344846 (718) 283-8700

Mmc Pediatrics Faculty Practice

1.9 mi

Pediatrics

6010 BAY PKWY STE 902
Brooklyn, NY 11204

Reassigned Medicare billing, New York enrollment
137 clinicians in this Medicare group

NPI 1285648154 (718) 283-7500

Brookdale Hospital Medical Center

3.1 mi

General Acute Care Hospital

1 BROOKDALE PLZ STE 666
Brooklyn, NY 11212

Reassigned Medicare billing, New York enrollment
782 clinicians in this Medicare group

NPI 1720028772 (718) 240-8352

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 20

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

CARLOS BUZZETTA

Legal Medicine

4802 10TH AVE
BROOKLYN, NY 11219

Kings County (718) 283-8961

LOBELYS A ANICET PMHNP

Nurse Practitioner (Psychiatric/Mental Health)

4802 10TH AVE
BROOKLYN, NY 11219

Kings County (718) 283-5660

CHIAMAKA MEREMETOH MD

Student in an Organized Health Care Education/Training Program

4802 10TH AVE
BROOKLYN, NY 11219

Kings County (718) 283-6000

JESSE M. GALINA

Student in an Organized Health Care Education/Training Program

4802 10TH AVE
BROOKLYN, NY 11219

Kings County (718) 283-6000

DR. ABANOUB ALFY NAKHLA MD

Student in an Organized Health Care Education/Training Program

4802 10TH AVE
BROOKLYN, NY 11219

Kings County (718) 283-6000

CHRISTINE LI MD

Student in an Organized Health Care Education/Training Program

4802 10TH AVE
BROOKLYN, NY 11219

Kings County (718) 283-6000

MS. KATRINA W SOWERBY FNP

Nurse Practitioner (Family)

4802 10TH AVE, PRE-TESTING
BROOKLYN, NY 11219

Kings County (718) 283-7300

MAIMONIDES MEDICAL CENTER MAIMONIDES INFECTIOUS DISEASES FPP

Internal Medicine (Infectious Disease)

4802 10TH AVE
BROOKLYN, NY 11219

Kings County (718) 283-8773

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 Mara Chavolla-calderon's NPI number?

The NPI number for Mara Chavolla-calderon is 1487889747. It was assigned to this individual provider in the NPPES registry on May 15, 2009.

Where is Mara Chavolla-calderon located?

Mara Chavolla-calderon practices at 4802 10th Ave, Brooklyn, NY 11219. The listed phone number is (718) 283-8854.

What is Mara Chavolla-calderon's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

Is Mara Chavolla-calderon enrolled in Medicare?

Yes. Mara Chavolla-calderon is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Mara Chavolla-calderon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mara Chavolla-calderon reassigns Medicare benefits to 3 organizations: Maimonides Faculty Practice Plan (Brooklyn, NY), Mmc Pediatrics Faculty Practice (Brooklyn, NY) and Brookdale Hospital Medical Center (Brooklyn, NY). 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 Mara Chavolla-calderon'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 Mara Chavolla-calderon was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.