Active NPI
Joseph Sean Cavanaugh, M.D.
- Internal Medicine Physician
- Bethesda, MD
National Provider Identifier
1356386411
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 67199
- Practice address
- 8901 Wisconsin Ave
Bethesda, MD 20889-6653 - Phone
- (301) 295-4000
- NPI assigned
- Jun 20, 2006
- Last updated
- Dec 22, 2021
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 67199 | GA | Primary |
Addresses
Primary practice location
8901 Wisconsin Ave
Bethesda, MD 20889-6653
Mailing address
1918 Merrifields Dr
Silver Spring, MD 20906-1254
Phone (240) 281-5773
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220104001123 | GA | Order and Referring Only - Internal Medicine | 9032500921 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 67199 | GA | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150761600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1640131200000",
"number": "1356386411",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1918 MERRIFIELDS DR",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209061254",
"telephone_number": "240-281-5773"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8901 WISCONSIN AVE",
"city": "BETHESDA",
"state": "MD",
"postal_code": "208896653",
"telephone_number": "301-295-4000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAVANAUGH",
"first_name": "JOSEPH",
"middle_name": "SEAN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-20",
"last_updated": "2021-12-22",
"certification_date": "2021-12-22",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "GA",
"license": "67199",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bethesda, MD
- Catholic Family Clinician Network (Alpha Omega Clinic and Consultation Services)
- Adam J Catz, DMD
- Paul Richard Cauchon, PA-C
- J. Patrick Caulfield, M.D.
- Jacqueline Causbie, MD
- Brennan Richard Cebula, M.D.
- Cecilia Scorah, RN
- Nona Cedrone, MPT
- Cristine A Ceely, DPT, GCS
- Center for Cancer and Blood Disorders
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2021; 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.