CARMELITA D CAEDO, MD — NPI 1194796110 (Licensed & Credentialed Allopathic & Osteopathic Physicians — Radiology, Pediatric Radiology in LIBERAL, KS)

CMS-1500 Box 24J / 33a • NPI

1194796110

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

2085P0229X (CMS 30)

Licensed & Credentialed Allopathic & Osteopathic Physicians — Radiology, Pediatric Radiology

Box 32 Service Location & ZIP+4

315 W 15TH ST, LIBERAL, KS, 67901-2455

✓ 9-Digit EDI 837 ZIP+4 (67901-2455)

Practice Phone & Referral Fax

(620) 624-1651

Direct NPPES Verification Line

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1194796110 (CARMELITA D CAEDO, MD) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1194796110` (NPI-1 Individual Practitioner)
Provider / Legal Name	CARMELITA D CAEDO, MD
Plain-English Specialty	Licensed & Credentialed Allopathic & Osteopathic Physicians — Radiology, Pediatric Radiology NUCC Code: `2085P0229X` (Radiology, Pediatric Radiology)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	315 W 15TH ST, LIBERAL, KS, 67901-2455
Practice Telephone / Fax	Tel: (620) 624-1651
Administrative Mailing Address	PO BOX 2108, LIBERAL, KS, 67905-2108
Enumeration & Last Sync	Enumerated: 2006-01-28 \| CMS Record Updated: 2026-07-13

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

315 W 15TH ST, LIBERAL, KS, 67901-2455

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Plain-English Taxonomy & CMS Crosswalk (2085P0229X)

What Does Taxonomy Code 2085P0229X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 2085P0229X translates to:
"Licensed & Credentialed Allopathic & Osteopathic Physicians — Radiology, Pediatric Radiology"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 30 (Physician/Diagnostic Radiology)
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Radiology, Pediatric Radiology for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (CARMELITA D CAEDO, MD)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`2085P0229X` — Radiology, Pediatric Radiology Plain English: Licensed & Credentialed Allopathic & Osteopathic Physicians — Radiology, Pediatric Radiology	State: KS \| License: `04-17155` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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CARMELITA D CAEDO, MD (NPI #1194796110)