Active NPI
Charles Raymond Caffrey, M.D.
- Emergency Medicine Physician
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 125065324
- Practice address
- 211 E Ontario St
Chicago, IL 60611-3468 - Phone
- (312) 694-7000
- NPI assigned
- Mar 27, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 2018003021 | MO | |
| Emergency Medicine Physician | 207P00000X | 125065324 | IL | Primary |
Addresses
Primary practice location
211 E Ontario St
Chicago, IL 60611-3468
Mailing address
211 E Ontario St
Chicago, IL 60611-3468
Phone (312) 694-7000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
615 S New Ballas Rd
Saint Louis, MO 63141-8221
Phone (636) 251-6000
Hospital & facility affiliations
- Mercy Hospital St Louis
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2018003021 | MO | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Hospitals East Communities | Emergency Medicine | Current | Accepting new patients |
| Mercy Hospital South | Emergency Medicine | Current | Accepting new patients |
| Mercy Hospital Jefferson | Current | Accepting new patients | |
| Mercy Hospital Jefferson | Current | Accepting new patients | |
| Cep America, LLC | Emergency Medicine | Current | Accepting new patients |
| Mercy Hospitals East Communities | Current | Accepting new patients | |
| Mercy Hospital South | Current | Accepting new patients | |
| Mercy Hospitals East Communities | Current | Accepting new patients | |
| Cep America LLC | Emergency Medicine | Current | Accepting new patients |
| Mercy Hospitals East Communities | Emergency Medicine | Current | Accepting new patients |
| Mercy Hospital Lincoln | Current | Accepting new patients | |
| Cep America LLC | Emergency Medicine | Current | Accepting new patients |
| Central Dupage Physician Group | Past | Accepting new patients |
Locations
2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423
12303 De Paul Dr
Bridgeton, MO 63044
Phone (314) 344-6360
1400 US Highway 61
Crystal Cty, MO 63028
Phone (636) 933-1111
1015 Bowles Ave
Fenton, MO 63026
Phone (636) 496-2000
615 S New Ballas Rd
Saint Louis, MO 63141
Phone (314) 251-4687
10010 Kennerly Rd
Saint Louis, MO 63128
Phone (314) 525-1328
6420 Clayton Rd
Saint Louis, MO 63117
Phone (314) 768-8442
1000 E Cherry St
Troy, MO 63379
Phone (636) 528-3327
900 E Cherry St
Troy, MO 63379
Phone (636) 528-8585
901 E 5th St
Washington, MO 63090
Phone (636) 239-8000
Organizations & group practices 13
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.
-
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1427098169
Emergency Medicine
-
- Emergency Medicine Physician
- Saint Louis, MO
- NPI 1619332046
-
- General Acute Care Hospital
- Festus, MO
- NPI 1508859661
-
- Critical Access Hospital
- Troy, MO
- NPI 1962808733
-
- General Acute Care Hospital
- Washington, MO
- NPI 1285664177
Emergency Medicine
-
- Emergency Medicine Physician
- Fort Lauderdale, FL
- NPI 1700747946
-
- Emergency Medicine Physician
- Bridgeton, MO
- NPI 1851946370
-
- Home Health Agency
- Festus, MO
- NPI 1396748588
-
- Medicare Defined Swing Bed Hospital Unit
- Saint Louis, MO
- NPI 1033714209
-
- Rural Health Clinic/Center
- Washington, MO
- NPI 1104912997
-
- Land Ambulance
- Saint Louis, MO
- NPI 1881329902
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1427098169
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1395878400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1574380800000",
"number": "1104243138",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "211 E ONTARIO ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606113468",
"telephone_number": "312-694-7000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "211 E ONTARIO ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606113468",
"telephone_number": "312-694-7000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAFFREY",
"first_name": "CHARLES",
"middle_name": "RAYMOND",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-03-27",
"last_updated": "2019-11-22",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MO",
"license": "2018003021",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "IL",
"license": "125065324",
"primary": true
}
],
"identifiers": [],
"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 Nov 22, 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.