Individual provider Active NPI

Anthony Cacco, M.D.

  • Family Medicine Physician
  • Rochester Hills, MI
National Provider Identifier
1508009192
Registry record updated Feb 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
5315053445 Issued in MI
Practice address
595 Barclay Cir
Ste D
Rochester Hills, MI 48307-5802
Phone
(248) 852-5355
Fax
(248) 852-8411
NPI assigned
Apr 12, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 28, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 5315053445 MI Primary

Addresses

Primary practice location

595 Barclay Cir
Ste D
Rochester Hills, MI 48307-5802

Mailing address

595 Barclay Cir
Ste D
Rochester Hills, MI 48307-5802
Phone (248) 852-5355

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20130905000869 MI Practitioner - Family Practice 2062655533 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
West Virginia University School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Powerback Rehabilitation LLCGroup PAC ID 2365359932, shared by 106 NPIs, 600 clinicians

Practice addresses (Care Compare)

44003 Partridge Creek Blvd
Clinton TWP, MI 48038-0002
Phone (342) 627-3267

595 Barclay Cir
Suite D
Rochester Hills, MI 48307-5802

595 Barclay Cir D
Rochester Hills, MI 48307-5802
Phone 2488525355209

Hospital & facility affiliations

  • Compassus Home Health Home health agency, Warren, MI, CCN 237081
  • Ascension Providence Rochester Hospital Hospital, Rochester, MI, CCN 230254
  • Beaumont Hospital, Troy Hospital, Troy, MI, CCN 230269

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5315053445MIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Anthony L Cacco MD PC Family Medicine CurrentSince Jun 27, 2013 Accepting new patients

Locations

595 Barclay Cir
Ste D
Rochester Hills, MI 48307
Phone (248) 852-5355

Interoperability endpoints

  • Direct secure messaging: acacco1119831@direct.hfhs.org

Organizations & group practices 1

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1239494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362009600000",
    "number": "1508009192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "595 BARCLAY CIR",
            "address_2": "STE D",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483075802",
            "telephone_number": "248-852-5355",
            "fax_number": "248-852-8411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "595 BARCLAY CIR",
            "address_2": "STE D",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483075802",
            "telephone_number": "248-852-5355",
            "fax_number": "248-852-8411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CACCO",
        "first_name": "ANTHONY",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-04-12",
        "last_updated": "2013-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "5315053445",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester Hills, MI

Sources for this page

Verify at the official NPI Registry.