NPIMap

Individual provider Active NPI

Chandler D Caves, MD

  • Emergency Medicine Physician
  • Wild Rose, WI
National Provider Identifier
1548256019
Registry record updated Mar 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
40096 Issued in WI
Practice address
601 Grove Ave
Wild Rose, WI 54984
Phone
(920) 622-3257
Fax
(920) 622-6020
NPI assigned
Sep 21, 2005
Last updated
Mar 25, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 40096 WI Primary
Family Medicine Physician 207Q00000X 40096 WI
Hospitalist Physician 208M00000X 40096 WI

Addresses

Primary practice location

601 Grove Ave
Wild Rose, WI 54984

Mailing address

3 Neenah Ctr
Neenah, WI 54956-3070
Phone (920) 622-3257

Other practice location 1

701 Grove Ave
Wild Rose, WI 54984-6901
Phone (920) 622-5560

Other practice location 2

701 Grove Ave
Wild Rose, WI 54984-6901
Phone (920) 622-5560

Other identifiers 2

IdentifierTypeStateIssuer
105000157MedicaidMI
32525100MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040401000742 WI Practitioner - Emergency MedicinePractitioner - Family Practice 7012909757 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of Wisconsin School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Thedacare, IncorporatedGroup PAC ID 1759294887, 654 clinicians

Practice addresses (Care Compare)

701 Grove Ave
Wild Rose, WI 54984-6901
Phone (920) 622-5560

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
40096WIMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Thedacare Medical Center - Berlin, Inc. CurrentSince Jan 26, 2026 Accepting new patients
Thedacare Medical Center - Wild Rose, Inc CurrentSince May 27, 2009 Accepting new patients
Thedacare Medical Center - Shawano, Inc. CurrentSince Apr 15, 2024 Accepting new patients
Thedacare, Incorporated Family Medicine CurrentSince Feb 1, 2016 Accepting new patients
Thedacare Medical Center - New London, Inc. CurrentSince Apr 15, 2024 Accepting new patients
Thedacare Medical Center - Shawano, Inc. CurrentSince Apr 15, 2024 Accepting new patients
Thedacare Medical Center - Waupaca, Inc. CurrentSince Apr 15, 2024 Accepting new patients
Thedacare Medical Center - New London, Inc CurrentSince Apr 15, 2024 Accepting new patients
Thedacare Medical Center - Berlin, Inc. CurrentSince Jan 26, 2026 Accepting new patients
Thedacare Medical Center - Waupaca, Inc. Emergency Medicine CurrentSince Apr 15, 2024 Accepting new patients
Richard S Veiga MD SC Current Accepting new patients

Locations

122 E College Ave
Appleton, WI 54911
Phone (920) 996-3264

225 Memorial Dr
Berlin, WI 54923
Phone (920) 361-1313

3 Neenah Ctr
Neenah, WI 54956
Phone (920) 454-4229

1405 Mill St
New London, WI 54961
Phone (920) 531-2000

100 Cty Road B
Shawano, WI 54166
Phone (715) 524-2161

800 Riverside Dr
Waupaca, WI 54981
Phone (715) 258-1000

601 Grove Ave
Wild Rose, WI 54984
Phone (920) 622-3257

701 Grove Ave
Wild Rose, WI 54984
Phone (920) 361-5340

Interoperability endpoints

  • Direct secure messaging: ccaves4246@direct.thedacare.org

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Thedacare Medical Center - Wild Rose, Inc.Wild Rose, WI, CCN 521303 Hospital Corporate Director Jan 1, 2018
Thedacare Medical Center - Wild Rose, Inc.Wild Rose, WI, CCN 52Z303 Hospital Corporate Director Mar 31, 2018

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 11

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.

Hospital & facility affiliations 4

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": "1127260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711324800000",
    "number": "1548256019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 NEENAH CTR",
            "city": "NEENAH",
            "state": "WI",
            "postal_code": "549563070",
            "telephone_number": "920-622-3257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 GROVE AVE",
            "city": "WILD ROSE",
            "state": "WI",
            "postal_code": "54984",
            "telephone_number": "920-622-3257",
            "fax_number": "920-622-6020"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "701 Grove Ave",
            "address_purpose": "LOCATION",
            "city": "Wild Rose",
            "state": "WI",
            "postal_code": "549846901",
            "country_code": "US",
            "telephone_number": "920-622-5560",
            "fax_number": "920-622-6021",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "701 Grove Ave",
            "address_purpose": "LOCATION",
            "city": "Wild Rose",
            "state": "WI",
            "postal_code": "549846901",
            "country_code": "US",
            "telephone_number": "920-622-5560",
            "fax_number": "920-622-6021",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAVES",
        "first_name": "CHANDLER",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-21",
        "last_updated": "2024-03-25",
        "certification_date": "2024-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "WI",
            "license": "40096",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WI",
            "license": "40096",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "WI",
            "license": "40096",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "105000157",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "32525100",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wild Rose, WI

Sources for this page

Verify at the official NPI Registry.