Cosme R. Cagas, MD

Primary specialty

SpecialistTaxonomy code 174400000X

License

36052410 Issued in IL

Practice address

1 Buhkum Woods Dr.
Fairview HTS., IL 62208-0000

Phone

(618) 398-6308

NPI assigned

Sep 15, 2016

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Cosmelito Ralota Cagas Jr. Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Cosme R Cagas, MD

  dba cosmelito r cagas, md

  • Specialist
  • Fairview Heights, IL
  • NPI 1124478920
  NPD (past) Authorized official

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

{
    "created_epoch": "1473897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473897600000",
    "number": "1144778325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 BUHKUM WOODS DR.",
            "city": "FAIRVIEW HTS.",
            "state": "IL",
            "postal_code": "622080000",
            "telephone_number": "618-398-6308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 BUHKUM WOODS DR.",
            "city": "FAIRVIEW HTS.",
            "state": "IL",
            "postal_code": "622080000",
            "telephone_number": "618-398-6308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAGAS",
        "first_name": "COSME",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-09-15",
        "last_updated": "2016-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "IL",
            "license": "36052410",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "COSMELITO",
            "last_name": "CAGAS",
            "middle_name": "RALOTA",
            "prefix": "DR.",
            "suffix": "JR.",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Dean Warren Drake, D.M.D.
• Samuel Oliver Harrris
• Chanita Renee Little
• Sara R Niederhoffer, PT
• Preferred Chiropractic LLC

• Specialist in Fairview HTS, IL
• Providers in Fairview HTS, IL by specialty
• Specialist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.