Individual provider Active NPI

Camila Narvaez Caicedo, MD

  • Neurology Physician
  • Galveston, TX
National Provider Identifier
1003582859
Registry record updated Aug 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
BP10074411 Issued in TX
Practice address
301 University Blvd # 9.128
Galveston, TX 77555-0539
Phone
(409) 772-8031
Fax
(409) 772-6940
NPI assigned
Aug 20, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X BP10074411 TX Primary

Addresses

Primary practice location

301 University Blvd # 9.128
Galveston, TX 77555-0539

Mailing address

301 University Blvd # 9.128
Galveston, TX 77555-0539
Phone (409) 772-8031

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250710000983 IL Order and Referring Only - NeurologyPractitioner - Neurology 0547774564

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
BP10074411TXMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Utmb PastSince Aug 28, 2021 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1629417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629417600000",
    "number": "1003582859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 UNIVERSITY BLVD # 9.128",
            "city": "GALVESTON",
            "state": "TX",
            "postal_code": "775550539",
            "telephone_number": "409-772-8031",
            "fax_number": "409-772-6940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 UNIVERSITY BLVD # 9.128",
            "city": "GALVESTON",
            "state": "TX",
            "postal_code": "775550539",
            "telephone_number": "409-772-8031",
            "fax_number": "409-772-6940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NARVAEZ CAICEDO",
        "first_name": "CAMILA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-20",
        "last_updated": "2021-08-20",
        "certification_date": "2021-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TX",
            "license": "BP10074411",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Galveston, TX

Sources for this page

Verify at the official NPI Registry.