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SANTIAGO W CALDERON MD PA
NPI 1871745976
Internal Medicine - Infectious Disease in Palm Coast, FL

Active since October 21, 2008
60 MEMORIAL MEDICAL PKWY, PALM COAST, FL 32164(706) 529-8953(706) 410-2421 Get Directions Write a Review

NPPES record last updated: July 28, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Santiago W Calderon Md Pa NPPES

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

SANTIAGO W CALDERON MD PA (NPI 1871745976) is a healthcare organization registered as an infectious disease in Palm Coast, Florida and active in the NPI registry since October 2008. The organization maintains a secondary practice location in Lake Mary and lists Santiago W Calderon, President, as its authorized official.

NPPES Registry Identity

NPI1871745976
Entity TypeOrganization
Primary Taxonomy207RI0200X
Legal Business NameSANTIAGO W CALDERON MD PA
Location Address60 MEMORIAL MEDICAL PKWYPalm Coast, FL 32164-5980
Mailing Address4916 San Marino CirLake Mary, FL 32746-2608 · (706) 529-8953
Phone(706) 529-8953
Fax(706) 410-2421
Organization SubpartNo
Authorized OfficialSantiago W CalderonPresident · (706) 529-8953
Enumeration DateOctober 21, 2008
Last NPPES UpdateJuly 28, 2025
NPPES CertifiedJuly 28, 2025
✔ NPI 1871745976 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RI0200X
License✔ Licensed in FL · ME70874
Definition
An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.
60 MEMORIAL MEDICAL PKWY, Palm Coast, FL 32164
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Secondary Practice Location 1

Location 14916 San Marino CirLake Mary, FL 32746-2608 · Phone (706) 529-8953 · Fax (706) 410-2421

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Santiago W Calderon Md Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Santiago W Calderon MD PA, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Santiago Calderon, MD
Infectious Disease
NPI 1790755759
60 MEMORIAL MEDICAL PKWY
Palm Coast, FL 32164
(706) 529-8953
✔ PECOS✔ Accepts MedicareSame address
Laurette Cornel, ARNP
Nurse Practitioner
NPI 1942691373
1690 DUNLAWTON AVE SUITE 120
Port Orange, FL 32127
(386) 481-6674
✔ PECOS✔ Accepts Medicare27 mi

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

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 Santiago W Calderon MD PA's NPI number?

The NPI number for Santiago W Calderon MD PA is 1871745976. It was assigned to this organization in the NPPES registry on October 21, 2008.

Where is Santiago W Calderon MD PA located?

Santiago W Calderon MD PA is located at 60 Memorial Medical Pkwy, Palm Coast, FL 32164. The listed phone number is (706) 529-8953.

What is Santiago W Calderon MD PA's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Is Santiago W Calderon MD PA enrolled in Medicare?

Yes. Santiago W Calderon MD PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Santiago W Calderon MD PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Santiago W Calderon MD PA, in Infectious Disease and Nurse Practitioner. A 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 the clinician's services. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Santiago W Calderon MD PA was last updated on July 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.