Individual provider Active NPI

Corey Robert Cavalier, PA-C

  • Physician Assistant
  • Indiana, PA
National Provider Identifier
1265322200
Registry record updated Jul 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA066805 Issued in PA
Practice address
835 Hospital Rd
Indiana, PA 15701-3629
Phone
(724) 464-7305
NPI assigned
Jul 9, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X MA066805 PA
Physician Assistant 363A00000X MA066805 PA Primary

Addresses

Primary practice location

835 Hospital Rd
Indiana, PA 15701-3629

Mailing address

53 W Liberty St
Homer City, PA 15748-1114
Phone (724) 464-7305

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250923000787 PA Practitioner - Physician Assistant 0840795803 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ipg Ortho LLPGroup PAC ID 7517472178, 16 clinicians

Practice addresses (Care Compare)

120 Irmc Dr
Suite 160
Indiana, PA 15701-3675
Phone (724) 465-2676

835 Hospital Rd
Indiana, PA 15701-3629
Phone (724) 465-2676

Hospital & facility affiliations

  • Indiana Regional Medical Center Hospital, Indiana, PA, CCN 390173

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
MA066805PAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Orthopaedic and Sports Medicine PC Physician Assistant Current Accepting new patients
Cosm Rehab CurrentSince Oct 20, 2025 Accepting new patients
Windber Hospital, Inc. Past Accepting new patients

Locations

25 Colony Blvd
Ste 110
Blairsville, PA 15717
Phone (724) 459-1790

120 Irmc Dr
Ste 160
Indiana, PA 15701
Phone (724) 357-7068

835 Hospital Rd
Indiana, PA 15701
Phone (724) 357-7000

640 Kolter Dr
Indiana, PA 15701
Phone (724) 357-7196

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/10717/brand/1/csg/1/fhir/r4
  • Direct secure messaging: corey.cavalier.1@10717.direct.athenahealth.com

Organizations & group practices 4

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 4

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": "1752019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752019200000",
    "number": "1265322200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "53 W LIBERTY ST",
            "city": "HOMER CITY",
            "state": "PA",
            "postal_code": "157481114",
            "telephone_number": "724-464-7305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "835 HOSPITAL RD",
            "city": "INDIANA",
            "state": "PA",
            "postal_code": "157013629",
            "telephone_number": "724-464-7305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAVALIER",
        "first_name": "COREY",
        "middle_name": "ROBERT",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-07-09",
        "last_updated": "2025-07-09",
        "certification_date": "2025-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA066805",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA066805",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indiana, PA

Sources for this page

Verify at the official NPI Registry.