Individual provider Active NPI

Michael John Cavaliere, MD

  • Internal Medicine Physician
  • Bridgeport, CT
National Provider Identifier
1194713339
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
017049 Issued in CT
Practice address
3363 Main St
Bridgeport, CT 06606-4234
Phone
(203) 333-2568
Fax
(203) 372-8923
NPI assigned
Oct 12, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 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 017049 CT Primary

Addresses

Primary practice location

3363 Main St
Bridgeport, CT 06606-4234

Mailing address

3363 Main St
Bridgeport, CT 06606-4234
Phone (203) 333-2568

Other identifiers 1

IdentifierTypeStateIssuer
1170497MedicaidCT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20100513001111 CT Practitioner - Internal Medicine 6406984343 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1973
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3363 Main St
Bridgeport, CT 06606-4234
Phone (203) 333-2568

Hospital & facility affiliations

  • Bridgeport Hospital Hospital, Bridgeport, CT, CCN 070010
  • Griffin Hospital Hospital, Derby, CT, CCN 070031

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
017049CTMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Michael J Cavaliere MD PC Internal Medicine CurrentSince Oct 10, 1986 Accepting new patients

Locations

3363 Main St
Bridgeport, CT 06606
Phone (203) 333-2568

Organizations & group practices 1

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.

Hospital & facility affiliations 3

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": "1129075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1194713339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3363 MAIN ST",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066064234",
            "telephone_number": "203-333-2568",
            "fax_number": "203-372-8923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3363 MAIN ST",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066064234",
            "telephone_number": "203-333-2568",
            "fax_number": "203-372-8923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAVALIERE",
        "first_name": "MICHAEL",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-12",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "017049",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1170497",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bridgeport, CT

Sources for this page

Verify at the official NPI Registry.