DR. NICHOLAS ANGELO CALOTTA (MD) – Plastic Surgery Physician, NPI 1962891564

DR. NICHOLAS ANGELO CALOTTA (MD) is a healthcare provider. based in Chicago, Illinois. specializing in PLASTIC AND RECONSTRUCTIVE SURGERY. They hold the professional credentials MD. They hold a License No. 2024011952 (MO). The NPI Number for DR. NICHOLAS ANGELO CALOTTA (MD) is 1962891564

Main info

Male
9 Years Of Experience
Accepts Medicare Assignment
Name
DR. NICHOLAS ANGELO CALOTTA (MD)
NPI
1962891564
Phone
(314) 514-3500
Address
PO BOX 7412011
Enumeration Date
20 January 2015
Last Update Date
15 April 2025

Doctor Profile

Medical School Name
JOHNS HOPKINS UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
3143362555
Graduation Year
2017 (9 years ago)
PAC ID
1355619768
Group Practice PAC ID
5698213221
Professional Enrollment ID
I20251013000939
Address ID
MO630172152CH14825RDXX506

Contacts

FHIR Endpoint
https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience56
Completeness85
Years active:11State licenses:1Other namesUpdated within 12 months

162 PLASTIC AND RECONSTRUCTIVE SURGERY in MO

Provider Addresses for DR. NICHOLAS ANGELO CALOTTA (MD)

  • PO BOX 7412011

    CHICAGO, IL 606742011

    Phone: (314) 514-3500

    Fax: (314) 878-7678

    Type: Mailing

  • 4921 PARKVIEW PL

    DEPT ORTHOPAEDIC SURGERY, STE 6A/6B/12A

    SAINT LOUIS, MO 631101032

    Phone: (314) 514-3500

    Fax: (314) 878-7678

    Type: Location

  • 5401 OLD COURT RD

    RANDALLSTOWN, MD 211335103

    Phone: (410) 701-4502

    Fax: (410) 521-7669

    Type: Location

  • 600 N WOLFE ST

    BALTIMORE, MD 212870005

    Phone: (410) 955-5000

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 20 Open Payments records for all available years, with a total value of $42,374.

Total Amount is formed as General ($42,374) + Research ($0) + Ownership ($0) = $42,374.

Last reported payment date: 2024-12-03 • Largest payer in this snapshot: ACUMED LLC ($30,000).

Total Amount

$42,374

General + Research + Ownership

Payments

20

Total payment records

General Amount

$42,374

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-03

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-10-13

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20251013000939IPlastic And Reconstructive SurgeryMOTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 60674)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5698213221View full group profile
NameSpecialtyState
Orthopedic SurgeryPA
Orthopedic SurgeryMO
Physician AssistantMO
Plastic And Reconstructive Surgery, Hand SurgeryMO

Reviews

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Frequently asked questions

Where can patients find DR. NICHOLAS ANGELO CALOTTA (MD)'s NPI?
You can confirm DR. NICHOLAS ANGELO CALOTTA (MD) with NPI 1962891564; it appears in the national provider directory.
Is DR. NICHOLAS ANGELO CALOTTA (MD)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is DR. NICHOLAS ANGELO CALOTTA (MD)?
The page reflects Plastic Surgery Physician for DR. NICHOLAS ANGELO CALOTTA (MD). Clinical services aligned with this taxonomy classification.
Does DR. NICHOLAS ANGELO CALOTTA (MD) practice in Illinois?
You will see Chicago, Illinois on file for DR. NICHOLAS ANGELO CALOTTA (MD) alongside any extra practice locations.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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