Active NPI
Patrick Owen McCaffrey, M.D.
- Emergency Medicine Physician
- Chicago, IL
National Provider Identifier
1336503226
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 125.069476
- Practice address
- 808 S Wood St
M/C 724
Chicago, IL 60612-7300 - Phone
- (312) 413-7492
- NPI assigned
- Apr 7, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 125.069476 | IL | Primary |
Addresses
Primary practice location
808 S Wood St
M/C 724
Chicago, IL 60612-7300
Mailing address
808 S Wood St
M/C 724
Chicago, IL 60612-7300
Phone (312) 413-7492
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 125.069476 | IL | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community First Healthcare of Illinois, Inc. | Single Specialty | Current | Accepting new patients |
| Community First Healthcare of Illinois, Inc. | Single Specialty | Current | Accepting new patients |
Locations
5645 W Addison St
Chicago, IL 60634
Phone (773) 282-7000
5645 W Addison St
Ste 301
Chicago, IL 60634
Phone (773) 736-4553
Organizations & group practices 2
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.
-
- Emergency Medicine Physician
- Chicago, IL
- NPI 1881059897
Single Specialty
-
- Diagnostic Radiology Physician
- Chicago, IL
- NPI 1053102269
Single Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1459987200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1543795200000",
"number": "1336503226",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "808 S WOOD ST",
"address_2": "M/C 724",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606127300",
"telephone_number": "312-413-7492"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "808 S WOOD ST",
"address_2": "M/C 724",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606127300",
"telephone_number": "312-413-7492"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCAFFREY",
"first_name": "PATRICK",
"middle_name": "OWEN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-04-07",
"last_updated": "2018-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Emergency Medicine",
"state": "IL",
"license": "125.069476",
"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 Dec 3, 2018; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.