Michael John Cavanaugh, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME39723 Issued in FL

Practice address

11211 SW 152ND St
Miami, FL 33157-1101

Phone

(305) 255-1355

Fax

(305) 255-2015

NPI assigned

May 16, 2006

Sex

Male

Sole proprietor

Yes

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 FL

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

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/15805/brand/1/csg/1/fhir/r4

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.

• South Dade Primary Care, LLC

  • Family Medicine Physician
  • Miami, FL
  • NPI 1285748285

  Internal Medicine

  Medicare reassignment NPD
• I T Health Services Inc

  • Infusion Therapy Clinic/Center
  • North Miami, FL
  • NPI 1013046291
  NPD (past)
• PMC Jackson South, LLC

  • Clinic/Center
  • Miami, FL
  • NPI 1043469232
  NPD (past)

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464307200000",
    "number": "1679525836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11211 SW 152ND ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331571101",
            "telephone_number": "305-255-1355",
            "fax_number": "305-278-2670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11211 SW 152ND ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331571101",
            "telephone_number": "305-255-1355",
            "fax_number": "305-255-2015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAVANAUGH",
        "first_name": "MICHAEL",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-16",
        "last_updated": "2016-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME39723",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Greter Cauz Barrios
• Arais Cavada, ARNP
• Julianna Cavalcante
• Claudia Cavalli
• Fernanda Gisele Cavallucci
• Adriana Cavassa
• Chloe Cavayero, BCBA
• Angel Ernesto Caveda Gil, APRN
• Karina Cavender, RPH
• Alejandra Cavero Jaldin

• Internal Medicine Physician in Miami, FL
• Providers in Miami, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2016; 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.