Active NPI
Richard K. Cavender, MD
- General Practice Physician
- Westerville, OH
National Provider Identifier
1073628533
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 35-066429
- Practice address
- 615 Copeland Mill Rd Ste 2D
Westerville, OH 43081-8904 - Phone
- (614) 939-2308
- Fax
- (614) 939-2309
- NPI assigned
- Aug 21, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 35.066429CTR | OH | |
| General Practice Physician | 208D00000X | G89337 | CA | |
| General Practice Physician | 208D00000X | 35-066429 | OH | Primary |
Addresses
Primary practice location
615 Copeland Mill Rd Ste 2D
Westerville, OH 43081-8904
Mailing address
615 Copeland Mill Rd Ste 2D
Westerville, OH 43081-8904
Phone (614) 939-2308
Other practice location 1
1800 Zollinger Rd
Columbus, OH 43221-2849
Phone (614) 293-2130
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Dec 29, 2022 through Dec 29, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G89337 | CA | MD | General Practice Physician |
| 35-066429 | OH | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergency Services, Inc. | Past | Accepting new patients | |
| Mid-Ohio Emergency Services, LLC | Past | Accepting new patients | |
| Emergency Services, Inc. | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Emergency Medicine Physician
- Columbus, OH
- NPI 1316925092
-
- Emergency Medicine Physician
- Columbus, OH
- NPI 1952413031
-
- Emergency Medicine Physician
- Columbus, OH
- NPI 1386691780
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156118400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1638403200000",
"number": "1073628533",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "615 COPELAND MILL RD STE 2D",
"city": "WESTERVILLE",
"state": "OH",
"postal_code": "430818904",
"telephone_number": "614-939-2308"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "615 COPELAND MILL RD STE 2D",
"city": "WESTERVILLE",
"state": "OH",
"postal_code": "430818904",
"telephone_number": "614-939-2308",
"fax_number": "614-939-2309"
}
],
"practiceLocations": [
{
"address_1": "1800 Zollinger Rd",
"address_purpose": "LOCATION",
"city": "Columbus",
"state": "OH",
"postal_code": "432212849",
"country_code": "US",
"telephone_number": "614-293-2130",
"fax_number": "614-293-3087",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CAVENDER",
"first_name": "RICHARD",
"middle_name": "K.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-21",
"last_updated": "2021-12-02",
"certification_date": "2021-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "OH",
"license": "35.066429CTR",
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "CA",
"license": "G89337",
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "OH",
"license": "35-066429",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Westerville, OH
- Sarah Elizabeth Cassady
- Benjamin Caswell, R.PH., PHARMD
- Catalpa Counseling LLC
- Jennifer Catlin, LPCC
- Melissa Fairall Cavender, MSW,LISW
- Abass Ceesay
- Centenial Home Health Care, LLC
- Center for Neuropsychological Services LLC
- Center for Neuropsychological Services LLC
- Center for Surgical Dermatology Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2021; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.