Lucas Edgardo Cavallin, MD, PHD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

S6145 Issued in TX

Practice address

1400 N Coit Rd Ste 501
McKinney, TX 75071-6657

Phone

(214) 556-1222

Fax

(214) 556-2923

NPI assigned

Apr 9, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Dermatology

Education

University of Miami, LM Miller School of Medicine, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• Patagonia Dermatology PLLC

  • Dermatology Physician
  • McKinney, TX
  • NPI 1366199952
  Medicare reassignment NPD Authorized official
• University of Penn - Medical Group

  • Cardiovascular Disease Physician
  • Philadelphia, PA
  • NPI 1093725145
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1460160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654905600000",
    "number": "1427412055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 N COIT RD",
            "address_2": "STE 501",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750716657",
            "telephone_number": "214-556-1222",
            "fax_number": "214-556-2923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 N COIT RD STE 501",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750716657",
            "telephone_number": "214-556-1222",
            "fax_number": "214-556-2923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAVALLIN",
        "first_name": "LUCAS",
        "middle_name": "EDGARDO",
        "credential": "MD, PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-04-09",
        "last_updated": "2022-06-11",
        "certification_date": "2022-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "TX",
            "license": "S6145",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leslie Catlett, OTR/L
• Carolyn Renee Caudell, MPT
• Christina Caulton, NP
• Nanette H. Causey, M.ED., LPC
• Annie Cavalier, RDN
• Heather Michelle Cawthon, PH.D.,LPC-S
• Kate Lyle Dawis Cayabyab
• Adriana Cayetano, M.S., CCC-SLP
• Cboyz Homehealthcare and Staffing Agency LLC
• CDG Bariatrics, LLC

• Dermatology Physician in McKinney, TX
• Providers in McKinney, TX by specialty
• Dermatology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2022; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.