Individual provider Active NPI

Jorge A Cavero, M.D.

  • Internal Medicine Physician
  • Chicago, IL
National Provider Identifier
1093703209
Registry record updated Jan 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036081964 Issued in IL
Practice address
4007 W 63Rd St
Chicago, IL 60629-4605
Phone
(773) 767-2266
Fax
(866) 493-3835
NPI assigned
Oct 11, 2005
Last updated
Jan 8, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 8, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 036081964 IL Primary

Addresses

Primary practice location

4007 W 63Rd St
Chicago, IL 60629-4605

Mailing address

4007 W 63Rd St
Chicago, IL 60629-4605
Phone (773) 767-2266

Other identifiers 1

IdentifierTypeStateIssuer
036081964MedicaidIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20080122000754 IL Practitioner - Family PracticePractitioner - Internal MedicinePractitioner - Pediatric Medicine 8325064678 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Internal Medicine, Pediatric Medicine
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cavero Medical Services LTDGroup PAC ID 1557718699, 3 clinicians

Practice addresses (Care Compare)

4007 W 63Rd St
Chicago, IL 60629-4605
Phone (773) 767-2266

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Cavero Clinic LLC Internal Medicine Current Accepting new patients
Cavero Medical Services LTD Internal Medicine CurrentSince Oct 1, 2023 Accepting new patients
C & G Diagnostics LTD PastSince Jun 1, 2015 Accepting new patients

Locations

4007 W 63rd St
Chicago, IL 60629
Phone (773) 767-2266

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IBJCDD
  • FHIR API: https://fhir4.healow.com/fhir/r4/IBJCDD/Endpoint/IBJCDD

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1128988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767830400000",
    "number": "1093703209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4007 W 63RD ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606294605",
            "telephone_number": "773-767-2266",
            "fax_number": "866-493-3835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4007 W 63RD ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606294605",
            "telephone_number": "773-767-2266",
            "fax_number": "866-493-3835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAVERO",
        "first_name": "JORGE",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-11",
        "last_updated": "2026-01-08",
        "certification_date": "2026-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036081964",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036081964",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.