Individual provider Active NPI

Michael Jose Cavazos, M.D.

  • Cardiovascular Disease Physician
  • San Antonio, TX
National Provider Identifier
1205181674
Registry record updated Jan 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
R7185 Issued in TX
Practice address
1100 McCullough Ave Ste 300
San Antonio, TX 78212-4814
Phone
(210) 271-3204
Fax
(210) 222-2761
NPI assigned
Jul 20, 2012
Last updated
Jan 31, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X R7185 TX Primary

Addresses

Primary practice location

1100 McCullough Ave Ste 300
San Antonio, TX 78212-4814

Mailing address

1100 McCullough Ave Ste 300
San Antonio, TX 78212-4814
Phone (210) 271-3204

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address MICHAEL.CAVAZOS@hca7.eclinicaldirectplus.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20180820002313 TX Practitioner - Cardiovascular Disease (Cardiology) 3971895129 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cardiology Clinic of San Antonio, PLLCGroup PAC ID 1153517420, 125 clinicians

Practice addresses (Care Compare)

1100 McCullough Ave
San Antonio, TX 78212-4814
Phone (210) 271-3204

1310 McCullough Ave
San Antonio, TX 78212-5601
Phone (210) 208-2200

4411 Medical Dr
San Antonio, TX 78229-3824

6700 W Interstate 10
San Antonio, TX 78201-2009
Phone (210) 736-6700

6800 W Ih
San Antonio, TX 78201-2038

6800 W Ih
10 Suite 130
San Antonio, TX 78201-2039
Phone (210) 271-3204

7700 Floyd Curl Dr
San Antonio, TX 78229-3902
Phone (210) 575-4000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
99.78 of 100Reported as individual
Promoting interoperability
99
Improvement activities
30

Merit-based Incentive Payment System (MIPS)

Final score
84.46 of 100Reported as group
Quality
71.92
Promoting interoperability
99
Improvement activities
40
Cost
71.86

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R7185TXMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cardiology Clinic of San Antonio, PLLC Cardiovascular Disease CurrentSince Apr 15, 2024 Accepting new patients

Locations

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

1100 McCullough Ave
Ste 300
San Antonio, TX 78212

111 Dallas St
Fl 4
San Antonio, TX 78205
Phone (210) 297-7195

4411 Medical Dr
Ste 300
San Antonio, TX 78229
Phone (210) 582-5145

Interoperability endpoints

  • Direct secure messaging: 3211-cavazos-michael@direct.leadingreach.com

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

Hospital & facility affiliations 7

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": "1342742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643587200000",
    "number": "1205181674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 MCCULLOUGH AVE STE 300",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782124814",
            "telephone_number": "210-271-3204",
            "fax_number": "210-222-2761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 MCCULLOUGH AVE STE 300",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782124814",
            "telephone_number": "210-271-3204",
            "fax_number": "210-222-2761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAVAZOS",
        "first_name": "MICHAEL",
        "middle_name": "JOSE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-20",
        "last_updated": "2022-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TX",
            "license": "R7185",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "MICHAEL.CAVAZOS@hca7.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "1100 McCullough Ave Ste 300",
            "city": "San Antonio",
            "state": "TX",
            "country_code": "US",
            "postal_code": "782124814",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.