Christian Eduardo Cajavilca, MD

Primary specialty

Vascular Neurology PhysicianTaxonomy code 2084V0102X

License

R5983 Issued in TX

Practice address

1600 Coit Rd Ste 104
Plano, TX 75075-6171

Phone

(972) 566-5411

NPI assigned

Apr 17, 2014

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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

Specialty

NeurologyAlso: Vascular Surgery

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Neuro-Hospitalist of Clear Lake, PLLCGroup PAC ID 8527243682, 20 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• HCA Houston Healthcare Conroe Hospital, Conroe, TX, CCN 450222

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: christian.cajavilca@hca9.eclinicaldirectplus.com

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.

• Neuro-Hospitalist of Clear Lake, PLLC

  • Psychiatry Physician
  • Webster, TX
  • NPI 1619277183
  Medicare reassignment Care Compare group
• Specialty Associates of West Houston PLLC

  • Internal Medicine Physician
  • Houston, TX
  • NPI 1699062349
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Chca Conroe LP

  dba Conroe Regional Medical Center

  • General Acute Care Hospital
  • Conroe, TX
  • NPI 1962455816
  Care Compare affiliation

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

{
    "created_epoch": "1397692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561680000000",
    "number": "1043630080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "722 DUCHESS DR",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750133002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 COIT RD STE 104",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750756171",
            "telephone_number": "972-566-5411"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "909 9th Ave Ste 201",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "761043916",
            "country_code": "US",
            "telephone_number": "972-566-5411",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1501 Kings Hwy",
            "address_purpose": "LOCATION",
            "city": "Shreveport",
            "state": "LA",
            "postal_code": "711034228",
            "country_code": "US",
            "telephone_number": "318-813-1480",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAJAVILCA",
        "first_name": "CHRISTIAN",
        "middle_name": "EDUARDO",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-04-17",
        "last_updated": "2019-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084V0102X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Vascular Neurology",
            "state": "TX",
            "license": "R5983",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cadence Anesthesia PLLC
• Cadre Hospice - Texas LLC
• Jennifer Caffee, BCABA
• Breiane Cage, LMFT, CCTP
• Sabrina Cage, PA-C
• Stephanie Ann Calabrese, PT
• Megan Marie Calder
• Joshua Michael Caldwell, PT, DPT
• Kim A. Caldwell, R.PH.
• Linda Caldwell, RPH

• Vascular Neurology Physician in Plano, TX
• Providers in Plano, TX by specialty
• Vascular Neurology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.