Active NPI
Rogelio O Cave MD SC
- Internal Medicine Physician
- Chicago, IL
National Provider Identifier
1023277019
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 036050538
- Legal business name
- ROGELIO O CAVE MD SC
- Practice address
- 67 W 111TH St
2ND Floor
Chicago, IL 60628-4247 - Phone
- (773) 995-3454
- NPI assigned
- Jun 4, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Rosita Doyle
- Title
- Billing Consultant
- Phone
- (773) 846-9521
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 036050538 | IL | Primary |
Addresses
Primary practice location
67 W 111TH St
2ND Floor
Chicago, IL 60628-4247
Mailing address
9526 S Kilbourn Ave
Oak Lawn, IL 60453-3208
Phone (708) 422-3716
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036050538-1 | Medicaid | IL | |
| 21624903 | Other | IL | BLUECROSS BLUE SHIELD OF ILLINOIS |
| 111910550 | Other | IL | RAILROAD MEDICARE |
National Provider Directory
National Provider DirectoryLocations
67 W 111th St
Fl 2
Chicago, IL 60628
Phone (773) 995-3454
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212537600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1212537600000",
"number": "1023277019",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9526 S KILBOURN AVE",
"city": "OAK LAWN",
"state": "IL",
"postal_code": "604533208",
"telephone_number": "708-422-3716"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "67 W 111TH ST",
"address_2": "2ND FLOOR",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606284247",
"telephone_number": "773-995-3454"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROGELIO O CAVE MD SC",
"organizational_subpart": "NO",
"enumeration_date": "2008-06-04",
"last_updated": "2008-06-04",
"status": "A",
"authorized_official_last_name": "DOYLE",
"authorized_official_first_name": "ROSITA",
"authorized_official_title_or_position": "BILLING CONSULTANT",
"authorized_official_telephone_number": "773-846-9521"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "IL",
"license": "036050538",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036050538-1",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECROSS BLUE SHIELD OF ILLINOIS",
"identifier": "21624903",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "111910550",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.