Jerry Cavallerano, O.D., PH.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

2891 Issued in MA

Practice address

1 Joslin PL
Beetham Eye Institute, Joslin Diabetes Center
Boston, MA 02215-5306

Phone

(617) 732-2554

Fax

(617) 732-2545

NPI assigned

Jul 7, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Other, 1981

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Joslin Clinic IncGroup PAC ID 5092794883, 53 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Beth Israel Deaconess Medical Center Hospital, Boston, MA, CCN 220086

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jcavallerano256831@direct.bilh.masshiway.net

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.

• Joslin Clinic Inc

  • Multi-Specialty Clinic/Center
  • Boston, MA
  • NPI 1528003621
  Medicare reassignment Care Compare group NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Beth Israel Deaconess Medical Center, Inc.

  • General Acute Care Hospital
  • Boston, MA
  • NPI 1548202641
  Care Compare affiliation

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1821020728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 JOSLIN PL",
            "address_2": "BEETHAM EYE INSTITUTE, JOSLIN DIABETES CENTER",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022155306",
            "telephone_number": "617-732-2554",
            "fax_number": "617-732-2545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 JOSLIN PL",
            "address_2": "BEETHAM EYE INSTITUTE, JOSLIN DIABETES CENTER",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022155306",
            "telephone_number": "617-732-2554",
            "fax_number": "617-732-2545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAVALLERANO",
        "first_name": "JERRY",
        "credential": "O.D., PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "2891",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0356573",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "W16002",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ryan Patrick Cauley, M.D.
• Alessandro Gaetano Cavaliere, PA-C
• Rona Marie Cavallaro, N.P.
• Sarah Catherine Cavallaro, MD
• Anthony Albert Cavallerano, OD
• Kelly Patricia Cavan
• Cody Michael Cavanagh, PA-C
• Julien Joseph Cavanagh, MD
• Christina Cavanaro
• Margaret Welsh Cavanaugh-Hussey, M.D., M.P.H.

• Optometrist in Boston, MA
• Providers in Boston, MA by specialty
• Optometrist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.