Cheryl Cavanaugh, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

36501 Issued in CO

Practice address

80 Health Park Dr Ste 100
Louisville, CO 80027-4644

Phone

(303) 666-2720

Fax

(303) 666-2734

NPI assigned

Dec 5, 2005

Last updated

Feb 25, 2025By the provider in NPPES

Sex

Female

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 CO

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

• Boulder Medical Center, P.C.

  • Multi-Specialty Clinic/Center
  • Boulder, CO
  • NPI 1306820923
  Medicare reassignment NPD
• Boulder Medical Center, P.C.

  • Urgent Care Clinic/Center
  • Boulder, CO
  • NPI 1114886587
  NPD
• Boulder Medical Center, P.C.

  • Multi-Specialty Clinic/Center
  • Louisville, CO
  • NPI 1699308452
  NPD
• Boulder Medical Center, P.C.

  • Multi-Specialty Clinic/Center
  • Erie, CO
  • NPI 1073146833
  NPD (past)
• Medical Center Pharmacy Inc

  dba Medical Center Pharmacy

  • Community/Retail Pharmacy
  • Salt Lake City, UT
  • NPI 1861495160
  NPD (past)

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

{
    "created_epoch": "1133740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740441600000",
    "number": "1508840257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2750 BROADWAY ST",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803043586",
            "telephone_number": "303-440-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 HEALTH PARK DR STE 100",
            "city": "LOUISVILLE",
            "state": "CO",
            "postal_code": "800274644",
            "telephone_number": "303-666-2720",
            "fax_number": "303-666-2734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAVANAUGH",
        "first_name": "CHERYL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-05",
        "last_updated": "2025-02-25",
        "certification_date": "2025-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CO",
            "license": "36501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nathan James Carillo, DDS
• Jill C Carnahan, M.D.
• Chesni Rae Carter, M.S. SLP-CF
• Lesley Casillas, COTA,L
• Megan Anders Cates, AU.D.
• CCC of Northern Colorado PLLC
• CD Louisville Prof. (Comfort Dental Louisville)
• Centennial Valley Pediatrics, P.C.
• Center for Holistic Psychotherapy & Coaching, LLC
• Center for Valued Living PLLC

• Pediatrics Physician in Louisville, CO
• Providers in Louisville, CO by specialty
• Pediatrics Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2025; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.