Deep Blue Retina, PLLC
NPI 1427511880ActiveOrganization· Ophthalmology, Retina Specialist· Southaven, MS
Ophthalmology, Retina Specialist in Southaven, Mississippi, registered in NPPES in April 2019. The authorized official on file is Jorge I. Calzada, MD, President. Enrolled in Medicare as part b supplier - clinic/group practice and part b supplier - clinic/group practice.
Overview
| NPI | 1427511880 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 11, 2019 |
| Last updated in NPPES | Dec 1, 2025 |
| Certified by provider | Dec 1, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Ophthalmology, Retina Specialist Primary | 207WX0107X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (MS); Part B Supplier - Clinic/Group Practice (TN) |
|---|
Other Ophthalmology, Retina Specialist providers in Southaven
- 1538154117
All Ophthalmology, Retina Specialist providers in Mississippi