Individual provider Active NPI

Richard K. Cavender, MD

  • General Practice Physician
  • Westerville, OH
National Provider Identifier
1073628533
Registry record updated Dec 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
35-066429 Issued in OH
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

Updated by the provider on Dec 2, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.
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

LicenseStateTypeSpecialty
G89337CAMDGeneral Practice Physician
35-066429OHMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew 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.

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

Sources for this page

Verify at the official NPI Registry.