Michael Caccamo (NPI# 1053303149, PAC ID# 7214824234) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1053303149 |
| PAC ID by PECOS | 7214824234 |
| Professional Enrollment ID | I20040303000521 |
| Full Name | Michael Caccamo |
| Organization Legal Name | KETTERING NETWORK RADIOLOGISTS INC |
| Address |
3535 Southern Blvd Kettering OH 45429-1221 |
| Phone Number | 9372967227 |
| Gender | M |
| Credential | DO |
| Medical School | MICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE |
| Graduation Year | 1990 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 7618960303 |
| Number of Group Practice Members | 51 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 360360 | SOIN MEDICAL CENTER |
| 360079 | KETTERING MEDICAL CENTER |
| 360026 | GREENE MEMORIAL HOSPITAL |
| 360133 | GRANDVIEW AND SOUTHVIEW HOSPITALS |
| 360239 | KETTERING MEDICAL CENTER - SYCAMORE |
| Address | Phone | Organization |
|---|---|---|
| 3535 Southern Blvd, Kettering, OH 45429-1221 | 9372967227 | KETTERING NETWORK RADIOLOGISTS INC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_145_overall | Radiology: Exposure Dose or Time Reported for Procedures Using Fluoroscopy | 100% | |
| MIPS_EC_225_overall | Radiology: Reminder System for Screening Mammograms | 100% | |
| MIPS_EC_436_overall | Radiation Consideration for Adult CT: Utilization of Dose Lowering Techniques | 100% |
| Organization Legal Name | KETTERING NETWORK RADIOLOGISTS INC |
| Physicians | 41 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael I Levinson | Diagnostic Radiology | Kettering Network Radiologists Inc | 210 Treadwell St, Unit 403, Hamden, CT 06517-2356 |
| Louis Marone | Diagnostic Radiology | Kettering Network Radiologists Inc | 717 S Columbus Blvd, Suite 1602, Philadelphia, PA 19147-3514 |
| Maanasi Rajaram Burak | Diagnostic Radiology | Kettering Network Radiologists Inc | 3416 Drexel Dr, Dallas, TX 75205-2904 |
| Ana L Keppke | Diagnostic Radiology | Kettering Network Radiologists Inc | 6147 State Route 122, Middletown, OH 45005-5201 |
| Erich H Muckala | Diagnostic Radiology | Kettering Network Radiologists Inc | 5000 Tower Bridge Ct, Edmond, OK 73034-0857 |
| Dhananjay V Paranjpe | Diagnostic Radiology | Kettering Network Radiologists Inc | 405 Grand Ave, Dayton, OH 45405-4720 |
| Neil W Baron | Diagnostic Radiology | Kettering Network Radiologists Inc | 128 Corbata Ln, St Augustine, FL 32095-7097 |
| Wilfredo J Suntay | Diagnostic Radiology | Kettering Network Radiologists Inc | 100 Kettering Way, Franklin, OH 45005-1155 |
| Bryan J Canty | Diagnostic Radiology | Kettering Network Radiologists Inc | 4456 Ridgewood Ln S, Billings, MT 59106-4739 |
| Richard A Mckenzie | Diagnostic Radiology | Kettering Network Radiologists Inc | 100 Kettering Way, Franklin, OH 45005-1155 |
| Street Address |
3535 SOUTHERN BLVD |
| City | KETTERING |
| State | OH |
| Zip | 45429-1221 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sylvia Polenakovik | Internal Medicine | Alliance Physicians Inc | 3535 Southern Blvd, Kettering, OH 45429-1221 |
| Swathi Datla | Family Medicine | Alliance Physicians Inc | 3535 Southern Blvd, Kettering, OH 45429-1221 |
| Jeremy L Chapman | Internal Medicine | Alliance Physicians Inc | 3535 Southern Blvd, Kettering, OH 45428-1221 |
| Timberly De Ann Harvey | Certified Registered Nurse Anesthetist (crna) | Kettering Anesthesia Associates, Inc | 3535 Southern Blvd, Kettering, OH 45429-1221 |
| Chalana U Gunawardena | Hospitalist | Alliance Physicians Inc | 3535 Southern Blvd, Kettering, OH 45428-1221 |
| Julia Anne Balandiat | Physician Assistant | Alliance Physicians Inc | 3535 Southern Blvd, Kettering, OH 45429-1221 |
| Nicole K Hammock | Nurse Practitioner | South Dayton Acute Care Consultants, Inc | 3535 Southern Blvd, Dayton, OH 45429-1221 |
| David B Jackson | Emergency Medicine | Emergency Medicine Specialists Inc | 3535 Southern Blvd, Kettering, OH 45429-1221 |
| Michael Kelley | Physician Assistant | Alliance Physicians Inc | 3535 Southern Blvd, Kettering, OH 45429-1221 |
| Daniel Lucian Butnariu | Critical Care (intensivists) | South Dayton Acute Care Consultants, Inc | 3535 Southern Blvd, Dayton, OH 45429-1221 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael David Johnson | General Surgery | Alliance Physicians Inc | 3535 Southern Blvd, Kettering, OH 45429-1221 |
| Michael Benjamin Gentry | Pathology | Kettering Pathology Associates Inc | 3535 Southern Blvd, Kettering, OH 45429-1221 |
| Bradley A. Wisler | Anesthesiology | Kettering Anesthesia Associates, Inc | 3535 Southern Blvd, Kettering, OH 45429-1221 |
| Lori E Bickett | Nurse Practitioner | South Dayton Acute Care Consultants, Inc | 3535 Southern Blvd, Dayton, OH 45429-1221 |
| Ersie Pouagare | Pathology | Regional Pathology Services Inc | 3535 Southern Blvd, Kettering, OH 45429-1221 |
| Renjini Rachel Thomas | Internal Medicine | South Dayton Acute Care Consultants, Inc | 3535 Southern Blvd, Dayton, OH 45429-1221 |
| Scott J Arnold | Pathology | Regional Pathology Services Inc | 3535 Southern Blvd, Kettering, OH 45429-1221 |
| Valerie A Aliu | Internal Medicine | South Dayton Acute Care Consultants, Inc | 3535 Southern Blvd, Dayton, OH 45429-1221 |
| Justin Stafford | Physician Assistant | Alliance Physicians Inc | 3535 Southern Blvd, Kettering, OH 45429-1221 |
| John Petty | Physical Medicine and Rehabilitation | 3535 Southern Blvd, Kettering, OH 45429-1221 | |
| Find all physicians in zip 45429 | |||
| City | KETTERING |
| Zip Code | 45429 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | KETTERING + DIAGNOSTIC RADIOLOGY |
Please comment or provide details below to improve the information on Michael Caccamo.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.