Active NPI
Calvin L Cargill, MD
- Family Medicine Physician
- Stanton, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- H6093
- Practice address
- 600 E I20
Suite 104
Stanton, TX 79782 - Phone
- (432) 607-3243
- Fax
- (432) 607-3629
- NPI assigned
- Feb 10, 2006
- Last updated
- Dec 2, 2020
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | H6093 | TX | Primary |
Addresses
Primary practice location
600 E I20
Suite 104
Stanton, TX 79782
Mailing address
PO Box 640
Stanton, TX 79782-0640
Phone (432) 607-3243
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 127408 | Other | TX | CHIPS |
| TIN PLUS SUFFIX 001 | Other | TX | TRICARE |
| 4366536 | Other | TX | AETNA |
| TIN PLUS SUFFIX 043 | Other | TX | TRICARE |
| 133360108 | Medicaid | TX | |
| 752616977066 | Other | TX | TRICARE |
| 141841001 | Other | TX | EPSDT |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | 036700CC@mchd.cernerdirect.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of Texas Medical School at San Antonio, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
306 W 3Rd St
Big Spring, TX 79720-2429
Phone (432) 267-3806
600 E
20 Martin County Hospital
Stanton, TX 79782-0640
Phone 43260732003225
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Interoperability endpoints
- 036700cc@mchd.cernerdirect.com
Organizations & group practices 3
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.
-
- Critical Access Hospital
- Stanton, TX
- NPI 1679560866
-
- Emergency Medicine Physician
- Lubbock, TX
- NPI 1083630610
-
- Rehabilitation Clinic/Center
- Big Spring, TX
- NPI 1760486708
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Interim Healthcare of Austin
- Home Health Agency
- Big Spring, TX
- NPI 1528013174
-
- Critical Access Hospital
- Stanton, TX
- NPI 1679560866
-
dba Midland Memorial Hospital
- General Acute Care Hospital
- Midland, TX
- NPI 1255325817
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139529600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606867200000",
"number": "1811960628",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 640",
"city": "STANTON",
"state": "TX",
"postal_code": "797820640",
"telephone_number": "432-607-3243",
"fax_number": "432-607-3629"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 E I20",
"address_2": "SUITE 104",
"city": "STANTON",
"state": "TX",
"postal_code": "79782",
"telephone_number": "432-607-3243",
"fax_number": "432-607-3629"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARGILL",
"first_name": "CALVIN",
"middle_name": "L",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-10",
"last_updated": "2020-12-02",
"certification_date": "2020-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "H6093",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHIPS",
"identifier": "127408",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "TIN PLUS SUFFIX 001",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4366536",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "TIN PLUS SUFFIX 043",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "133360108",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "752616977066",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EPSDT",
"identifier": "141841001",
"state": "TX"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "036700CC@mchd.cernerdirect.com",
"affiliation": "N",
"endpointDescription": "Martin County Hospital District Direct Email Address",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CCDA",
"address_1": "600 E I20",
"address_2": "Suite 104",
"city": "Stanton",
"state": "TX",
"country_code": "US",
"postal_code": "79782",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Stanton, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 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.