Individual provider Active NPI

Calvin L Cargill, MD

  • Family Medicine Physician
  • Stanton, TX
National Provider Identifier
1811960628
Registry record updated Dec 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
H6093 Issued in TX
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, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2020

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 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

IdentifierTypeStateIssuer
127408OtherTXCHIPS
TIN PLUS SUFFIX 001OtherTXTRICARE
4366536OtherTXAETNA
TIN PLUS SUFFIX 043OtherTXTRICARE
133360108MedicaidTX
752616977066OtherTXTRICARE
141841001OtherTXEPSDT

Electronic endpoints 1

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041207000731 TX Practitioner - Family Practice 8426014861 Reassigns benefits to 2 organizations

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
Dora Roberts Rehabilitation CenterGroup PAC ID 0941285498, 114 clinicians
Martin County Hospital DistrictGroup PAC ID 8527958552, 29 clinicians

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

  • Direct secure messaging: 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.

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": "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

Verify at the official NPI Registry.