SANTIAGO W CALDERON MD PA – Infectious Disease Physician, NPI 1871745976
Infectious Disease Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for SANTIAGO W CALDERON MD PA
1840, Classique Lane, Tavares, Lake County, Florida, 32778, United States
TAVARES, FL 32778
Phone: (352) 360-9687
Type: Location
4916 San Marino Cir
Lake Mary, FL 327462608
Phone: (706) 529-8953
Fax: (706) 410-2421
Type: Location
60 MEMORIAL MEDICAL PKWY
PALM COAST, FL 321645980
Phone: (706) 529-8953
Fax: (706) 410-2421
Type: Location
4916, San Marino Circle, Fountain Parke at Lake Mary, Lake Mary, Seminole County, Florida, 32746, United States
LAKE MARY, FL 327462608
Phone: (706) 529-8953
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2009-03-09
PECOS data refreshed: 2026-06-15
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20090309000556 | O | Clinic/Group Practice | FL | TBD |
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.
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 32778)
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