Individual provider Active NPI

Barbara C. Cavanaugh, M.D.

  • Diagnostic Radiology Physician
  • Philadelphia, PA
National Provider Identifier
1023072212
Registry record updated Mar 31, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
MD033430E Issued in PA
Practice address
333 Cottman Ave
Philadelphia, PA 19111-2434
Phone
(215) 728-3883
NPI assigned
Apr 14, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X C1-0011490 DE
Diagnostic Radiology Physician 2085R0202X MD033430E PA Primary

Addresses

Primary practice location

333 Cottman Ave
Philadelphia, PA 19111-2434

Mailing address

1601 Milltown Rd
Wilmington, DE 19808-4027
Phone (302) 993-2330

Other practice location 1

J24 Omega Drive
Newark, DE 19713
Phone (302) 738-9100

Other practice location 2

1200 S Cedar Crest Blvd
Allentown, PA 18103-6202
Phone (610) 402-8080

Other identifiers 1

IdentifierTypeStateIssuer
001227968MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20050329000628 PA Practitioner - Diagnostic Radiology 9234185695 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
76.81 of 100Reported as group
Quality
75.84
Improvement activities
40
Cost
66.98

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C1-0011490DEMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Imaging of Lehigh Valley PC Diagnostic Radiology CurrentSince Aug 2, 2016 Accepting new patients
Temple Faculty Practice Plan Inc Current Accepting new patients
Temple Faculty Practice Plan Inc CurrentSince Mar 1, 2021 Accepting new patients
Temple Faculty Practice Plan, Inc CurrentSince Mar 1, 2021 Accepting new patients
Delaware Radiology Associates PA Diagnostic Radiology Past Accepting new patients
Jeanes Radiology Associates LLC Diagnostic Radiology Past Accepting new patients
Lehigh Valley Diagnostic Imaging Past Accepting new patients
Insight Health Corp. Diagnostic Radiology PastSince Jun 1, 2007 Accepting new patients

Locations

1200 S Cedar Crest Blvd
Allentown, PA 18103
Phone (484) 862-3200

1230 S Cedar Crest Blvd
Ste 104
Allentown, PA 18103
Phone (610) 402-1070

1230 S Cedar Crest Blvd
Ste 303
Allentown, PA 18103
Phone (610) 402-1095

1770 Bathgate Rd
Bethlehem, PA 18017
Phone (610) 317-8083

2365 Heritage Center Dr
Furlong, PA 18925
Phone (215) 728-3883

700 Hawk Ridge Dr
Hamburg, PA 19526
Phone (610) 562-0170

3401 N Broad St
Philadelphia, PA 19140
Phone (215) 707-3807

2301 E Allegheny Ave
Philadelphia, PA 19134
Phone (215) 282-8000

333 Cottman Ave
Philadelphia, PA 19111
Phone (215) 728-3893

Organizations & group practices 8

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": "1144972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617148800000",
    "number": "1023072212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 MILLTOWN RD",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198084027",
            "telephone_number": "302-993-2330",
            "fax_number": "302-993-2346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 COTTMAN AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191112434",
            "telephone_number": "215-728-3883"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "J24 Omega Drive",
            "address_purpose": "LOCATION",
            "city": "Newark",
            "state": "DE",
            "postal_code": "19713",
            "country_code": "US",
            "telephone_number": "302-738-9100",
            "fax_number": "302-738-9748",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1200 S Cedar Crest Blvd",
            "address_purpose": "LOCATION",
            "city": "Allentown",
            "state": "PA",
            "postal_code": "181036202",
            "country_code": "US",
            "telephone_number": "610-402-8080",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAVANAUGH",
        "first_name": "BARBARA",
        "middle_name": "C.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-14",
        "last_updated": "2021-03-31",
        "certification_date": "2021-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "DE",
            "license": "C1-0011490",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PA",
            "license": "MD033430E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001227968",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.