SUMMIT RIDGE CALDERON PC
NPI 1972455236
Radiology - Diagnostic Radiology in Las Vegas, NV
About Summit Ridge Calderon Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SUMMIT RIDGE CALDERON PC (NPI 1972455236) is a healthcare organization registered as a diagnostic radiology in Las Vegas, Nevada and active in the NPI registry since February 2026. The organization lists Benito Calderon, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 15
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Summit Ridge Calderon Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Summit Ridge Calderon PC, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Summit Ridge Calderon PC's NPI number?
The NPI number for Summit Ridge Calderon PC is 1972455236. It was assigned to this organization in the NPPES registry on February 10, 2026.
Where is Summit Ridge Calderon PC located?
Summit Ridge Calderon PC is located at 8345 S Rainbow Blvd. Suite 170, Las Vegas, NV 89113. The listed phone number is (702) 334-1919.
What is Summit Ridge Calderon PC's specialty?
The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.
Is Summit Ridge Calderon PC enrolled in Medicare?
Yes. Summit Ridge Calderon PC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Summit Ridge Calderon PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Summit Ridge Calderon PC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Summit Ridge Calderon PC was last updated on June 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Summit Ridge Calderon Pc · NPI 1972455236
Diagnostic Radiology organization in Las Vegas, Nevada. Organization record, active in the CMS NPPES registry since February 10, 2026.
## Identity
- **NPI:** 1972455236 (Entity type: Organization)
- **Enumerated:** February 10, 2026
- **Primary specialty:** Radiology - Diagnostic Radiology · taxonomy 2085R0202X
- **Organization subpart:** No
- **Authorized official:** Benito Calderon, CEO
## Practice location
- **Address:** 8345 S RAINBOW BLVD., SUITE 170, Las Vegas, NV 89113
- **Phone:** (702) 334-1919
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Internal Medicine) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 2, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1972455236) · Data from the CMS NPPES public registry.