Active NPI
Cary Cavender, M.D.
- Pediatric Gastroenterology Physician
- Memphis, TN
National Provider Identifier
1497847727
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Gastroenterology Physician
- License
- 49692
- Practice address
- 51 N Dunlap St
Suite 400
Memphis, TN 38105-4625 - Phone
- (901) 287-7337
- NPI assigned
- Sep 28, 2006
- 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 |
|---|---|---|---|---|
| Pediatric Gastroenterology Physician | 2080P0206X | 21497 | AL | |
| Pediatric Gastroenterology Physician | 2080P0206X | 49692 | TN | Primary |
Addresses
Primary practice location
51 N Dunlap St
Suite 400
Memphis, TN 38105-4625
Mailing address
850 Poplar Ave BLDG 2
Memphis, TN 38105-4607
Phone (901) 287-5565
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1531977 | Medicaid | TN | |
| 009937109 | Medicaid | AL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN, AL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Gastroenterology
- Education
- Brody School of Medicine at East Carolina University, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1600 7TH Ave S
Birmingham, AL 35233-1711
Phone (205) 975-9925
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21497 | AL | MD | Pediatric Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Alabama Health Services Foundation, PC. | Current | Accepting new patients | |
| University of Alabama Health Services Foundation, PC | Current | Accepting new patients | |
| The Children'S Hospital of Alabama | Past | Accepting new patients | |
| The Children'S Hospital of Alabama | Past | Accepting new patients |
Locations
1600 7th Ave S
Birmingham, AL 35233
Phone (205) 638-9100
703 Volker Hall
Birmingham, AL 35294
Phone (205) 638-9587
1600 7th Ave S
#7
Birmingham, AL 35233
Phone (205) 939-9918
Interoperability endpoints
- carycavender@direct.uabmedicine.org
Organizations & group practices 5
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.
-
- Multi-Specialty Clinic/Center
- Birmingham, AL
- NPI 1093768723
-
- Pediatrics Physician
- Memphis, TN
- NPI 1093024101
-
- Pediatrics Physician
- Birmingham, AL
- NPI 1356377576
-
- Pediatrics Physician
- Hueytown, AL
- NPI 1104903749
-
- Children's Hospital
- Birmingham, AL
- NPI 1205935012
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159401600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1579737600000",
"number": "1497847727",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "850 POPLAR AVE BLDG 2",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381054607",
"telephone_number": "901-287-5565",
"fax_number": "205-933-6666"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "51 N DUNLAP ST",
"address_2": "SUITE 400",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381054625",
"telephone_number": "901-287-7337"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAVENDER",
"first_name": "CARY",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-28",
"last_updated": "2020-01-23",
"certification_date": "2020-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0206X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Gastroenterology",
"state": "AL",
"license": "21497",
"primary": false
},
{
"code": "2080P0206X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Gastroenterology",
"state": "TN",
"license": "49692",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1531977",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "009937109",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Memphis, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2020; 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.