Individual provider Active NPI

Charles A Cavo, D.O.

  • Obstetrics & Gynecology Physician
  • New Britain, CT
National Provider Identifier
1447220462
Registry record updated Mar 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
042274 Issued in CT
Practice address
300 Kensington Ave
New Britain, CT 06051-3916
Phone
(860) 224-6215
Fax
(860) 224-6260
NPI assigned
Jan 23, 2006
Last updated
Mar 9, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 042274 CT Primary

Addresses

Primary practice location

300 Kensington Ave
New Britain, CT 06051-3916

Mailing address

300 Kensington Ave
New Britain, CT 06051-3916
Phone (860) 224-6240

Other identifiers 10

IdentifierTypeStateIssuer
2V9662OtherCTHEALTH NET
001422740MedicaidCT
040042274CT23OtherCTBCBS
1255448155OtherCTGHMC GROUP NPI
042274OtherCTCONNECTICARE
P3256316OtherCTOXFORD HEALTH PLANS
040042274CT23OtherCTMEDIBLUE BCBS
040042274CT23OtherCTBLUE CARE FAMILY PLAN
7715555OtherCTAETNA
1631895OtherCTCIGNA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20040510000888 CT Practitioner - Obstetrics/Gynecology 7214926773 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Pounds Medical Weight Loss Transformation PCGroup PAC ID 5991930661, 8 clinicians

Practice addresses (Care Compare)

125 Lasalle Rd
Suite 208
West Hartford, CT 06107-2311
Phone (860) 906-1289

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
042274CTMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pounds Medical Weight Loss Transformation PC CurrentSince Aug 15, 2013 Accepting new patients
Pounds, Medical Weight Loss Transformation, PC Current Accepting new patients
The Hospital of Central Connecticut at New Britain General and Bradley Past Accepting new patients
Starling Physicians, PLLC Past Accepting new patients

Locations

480 Naubuc Ave
Glastonbury, CT 06033
Phone (860) 494-2400

125 Lasalle Rd
Ste 208
West Htfd, CT 06107
Phone (860) 906-1289

Interoperability endpoints

  • Direct secure messaging: charles.cavo.1@25497.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/25497/brand/1/csg/1/fhir/r4

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

NPI Registry JSON

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

{
    "created_epoch": "1137974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331251200000",
    "number": "1447220462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 KENSINGTON AVE",
            "city": "NEW BRITAIN",
            "state": "CT",
            "postal_code": "060513916",
            "telephone_number": "860-224-6240",
            "fax_number": "860-826-4957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 KENSINGTON AVE",
            "city": "NEW BRITAIN",
            "state": "CT",
            "postal_code": "060513916",
            "telephone_number": "860-224-6215",
            "fax_number": "860-224-6260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAVO",
        "first_name": "CHARLES",
        "middle_name": "A",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-23",
        "last_updated": "2012-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CT",
            "license": "042274",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH NET",
            "identifier": "2V9662",
            "state": "CT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001422740",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "040042274CT23",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHMC GROUP NPI",
            "identifier": "1255448155",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONNECTICARE",
            "identifier": "042274",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD HEALTH PLANS",
            "identifier": "P3256316",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDIBLUE BCBS",
            "identifier": "040042274CT23",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CARE FAMILY PLAN",
            "identifier": "040042274CT23",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7715555",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "1631895",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Britain, CT

Sources for this page

Verify at the official NPI Registry.