1. Home
  2. Directory
  3. Arizona
  4. Tuba City
  5. Family Medicine
  6. NPI Profile

DR. SOPHINA MANHEIMER CALDERON M.D.
NPI 1861781593
Family Medicine in Tuba City, AZ

Active since April 04, 2011PECOS EnrolledAccepts Medicare Assignment
167 N MAIN ST, TUBA CITY, AZ 86045(928) 283-2501(928) 283-2677 Get Directions Write a Review

NPPES record last updated: October 13, 2014. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Sophina Manheimer Calderon M.d. NPPES

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

DR. SOPHINA MANHEIMER CALDERON M.D. (NPI 1861781593) is an individual family medicine provider in Tuba City, Arizona, licensed in Arizona (49674) and active in the NPI registry since April 2011. She is enrolled in Medicare PECOS, is affiliated with Up Health System Portage, and is a graduate of University Of Rochester School Of Medicine And Dentistry (2011).

NPPES Registry Identity

NPI1861781593
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. SOPHINA MANHEIMER CALDERONCredential: M.D.
Location Address167 N MAIN STTuba City, AZ 86045-0600
Mailing AddressPo Box 600Tuba City, AZ 86045-0600 · (928) 283-2501 · Fax (928) 283-2677
Phone(928) 283-2501
Fax(928) 283-2677
Sole ProprietorNo
Medical School CMSUniversity Of Rochester School Of Medicine And DentistryGraduated 2011
Enumeration DateApril 4, 2011
Last NPPES UpdateOctober 13, 2014
✔ NPI 1861781593 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in AZ · 49674
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
167 N MAIN ST, Tuba City, AZ 86045
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company.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. Sophina Manheimer Calderon 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 ID2365662129
PECOS Enrollment IDI20140930002123
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 Reassignment

Medicare enrollment records show Sophina Calderon reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Tuba City Regional Health Care Corporation
Same address
General Acute Care Hospital
167 NORTH MAIN STREET
Tuba City, AZ 86045
  • Reassigned Medicare billing, Texas enrollment
  • 540 clinicians in this Medicare group
NPI 1548294424 (928) 283-2501

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

Hospital Affiliations CMS Care Compare 2

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

Up Health System Portage

Acute Care Hospitals · Hancock, MI
OwnershipVoluntary non-profit - Other
CMS Certification Number230108
Location500 Campus DriveHancock, MI 49930 · Houghton County
Emergency services Birthing friendly

Baraga County Memorial Hospital

Critical Access Hospitals · L' Anse, MI
OwnershipGovernment - Local
CMS Certification Number231307
Location18341 Us Highway 41L' Anse, MI 49946 · Baraga County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 86045 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Lubricant, individual sterile packet, each A4332
DME-Medical/Surgical Supplies · category DA000N
1 supplier11 claims2,200 services$0.11 avg. paid by Medicare
Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351
DME-Orthotic Devices · category DF008N
1 supplier11 claims2,200 services$1.76 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier14 claims14 services$16.26 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers24 claims24 services$94.92 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

STELLA MAE DANNY CNA
Nurse's Aide
167 N MAIN ST
TUBA CITY, AZ 86045
Coconino County (928) 283-2629
MRS. KRISTEN M BALCEREK DPT
Physical Therapist
167 N MAIN ST
TUBA CITY, AZ 86045
Coconino County (928) 283-2501
AMANDA LEE AU.D.
Audiologist
167 N MAIN ST
TUBA CITY, AZ 86045
Coconino County (928) 283-2038
MS. GRACE ELIZABETH REID MOT, OTR/L
Occupational Therapist
167 N MAIN ST
TUBA CITY, AZ 86045
Coconino County (928) 283-2873
MRS. LUSITA M JOHNSON BA
Counselor (Mental Health)
167 N MAIN ST
TUBA CITY, AZ 86045
Coconino County (928) 283-2831
DR. KRISTIN ELIZABETH SALAMON D.D.S.
Dentist (General Practice)
167 N MAIN ST
TUBA CITY, AZ 86045
Coconino County (928) 283-2501
MISS EMOLINDA J TSOSIE RN
Chore Provider
167 N MAIN ST
TUBA CITY, AZ 86045
Coconino County (928) 797-0829
KAREN YIN-CHIEH JONG MD
Internal Medicine (Endocrinology, Diabetes & Metabolism)
167 N MAIN ST
TUBA CITY, AZ 86045
Coconino County (928) 283-2501

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 Sophina Calderon's NPI number?

The NPI number for Sophina Calderon is 1861781593. It was assigned to this individual provider in the NPPES registry on April 4, 2011.

Where is Sophina Calderon located?

Sophina Calderon practices at 167 N Main St, Tuba City, AZ 86045. The listed phone number is (928) 283-2501.

What is Sophina Calderon's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Sophina Calderon enrolled in Medicare?

Yes. Sophina Calderon 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 Sophina Calderon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sophina Calderon reassigns Medicare benefits to Tuba City Regional Health Care Corporation (Tuba City, AZ). 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 Sophina Calderon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sophina Calderon accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Sophina Calderon 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 Sophina Calderon affiliated with any hospitals?

According to CMS data, Sophina Calderon is affiliated with Up Health System Portage and Baraga County Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Sophina Calderon was last updated on October 13, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.