Active NPI
Stuart A Cavalieri, MD
- Interventional Cardiology Physician
- Augusta, GA
National Provider Identifier
1487656930
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Cardiology Physician
- License
- MD00037637
- Practice address
- 1 Freedom Way
Cardiology Section (251)
Augusta, GA 30904-6258 - Phone
- (706) 733-0188
- Fax
- (706) 823-3911
- NPI assigned
- Aug 15, 2005
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | MD00037637 | WA | |
| Interventional Cardiology Physician | 207RI0011X | MD00037637 | WA | Primary |
Addresses
Primary practice location
1 Freedom Way
Cardiology Section (251)
Augusta, GA 30904-6258
Mailing address
1 Freedom Way
Cardiology Section (251)
Augusta, GA 30904-6258
Phone (706) 733-0188
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8244659 | Medicaid | WA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD00037637 | WA | MD | Interventional Cardiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Terrebonne Parish Hospital Service District #1 | Past | Accepting new patients | |
| Cardiovascular Institute of the South, LLC | Cardiovascular Disease | Past | Accepting new patients |
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.
-
- Cardiovascular Disease Physician
- Houma, LA
- NPI 1982689113
-
- Anesthesiology Physician
- Houma, LA
- NPI 1740248129
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1454025600000",
"number": "1487656930",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 FREEDOM WAY",
"address_2": "CARDIOLOGY SECTION (251)",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "309046258",
"telephone_number": "706-733-0188",
"fax_number": "706-823-3911"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 FREEDOM WAY",
"address_2": "CARDIOLOGY SECTION (251)",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "309046258",
"telephone_number": "706-733-0188",
"fax_number": "706-823-3911"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAVALIERI",
"first_name": "STUART",
"middle_name": "A",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-15",
"last_updated": "2016-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "WA",
"license": "MD00037637",
"primary": false
},
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "WA",
"license": "MD00037637",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8244659",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Augusta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.