Individual provider Active NPI

Pamela S Cava, D.O.

  • Pediatrics Physician
  • Pleasant Prairie, WI
National Provider Identifier
1831142686
Registry record updated Feb 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
43340 Issued in WI
Practice address
9555 76TH St
Suite 4106
Pleasant Prairie, WI 53158-1984
Phone
(262) 653-5437
Fax
(262) 577-8715
NPI assigned
May 19, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2014

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Cardiology Physician 2080P0202X 036-095285 IL
Pediatric Cardiology Physician 2080P0202X 43340 WI
Pediatrics Physician 208000000X 43340 WI Primary

Addresses

Primary practice location

9555 76TH St
Suite 4106
Pleasant Prairie, WI 53158-1984

Mailing address

9555 76TH St
Suite 4106
Pleasant Prairie, WI 53158-1984
Phone (262) 653-5437

Other identifiers 2

IdentifierTypeStateIssuer
1831142686MedicaidWI
43492700MedicaidIL

Other names 1

  • Pamela Sayger Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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
I20050913000475 WI Practitioner - Pediatric MedicinePractitioner - Cardiovascular Disease (Cardiology) 8628960184 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
43340WIMDPediatrics Physician
036-095285ILMDPediatric Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ascension Medical Group-Southeast Wisconsin Inc Pediatrics CurrentSince May 21, 2019 Accepting new patients
Froedtert South, Inc. Past Accepting new patients
Ascension All Saints Hospital, Inc Past Accepting new patients
The Medical College of Wisconsin, Inc. Past Accepting new patients
Childrens Physician Group PC Pediatrics Past Accepting new patients
Kenosha Pathology Consultants Past Accepting new patients

Locations

13950 W Capitol Dr
Brookfield, WI 53005
Phone (414) 302-5400

10911 N Port Washington Rd
Mequon, WI 53092
Phone (262) 241-2080

4328 Old Green Bay Rd
Mount Pleasant, WI 53403
Phone (262) 687-7606

1320 Wisconsin Ave
Racine, WI 53403
Phone (262) 687-2222

201 N Mayfair Rd
Fl 2
Wauwatosa, WI 53226
Phone (414) 771-8228

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392681600000",
    "number": "1831142686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9555 76TH ST",
            "address_2": "SUITE 4106",
            "city": "PLEASANT PRAIRIE",
            "state": "WI",
            "postal_code": "531581984",
            "telephone_number": "262-653-5437",
            "fax_number": "262-577-8715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9555 76TH ST",
            "address_2": "SUITE 4106",
            "city": "PLEASANT PRAIRIE",
            "state": "WI",
            "postal_code": "531581984",
            "telephone_number": "262-653-5437",
            "fax_number": "262-577-8715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAVA",
        "first_name": "PAMELA",
        "middle_name": "S",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-19",
        "last_updated": "2014-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0202X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": "IL",
            "license": "036-095285",
            "primary": false
        },
        {
            "code": "2080P0202X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": "WI",
            "license": "43340",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "WI",
            "license": "43340",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1831142686",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "43492700",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PAMELA",
            "last_name": "SAYGER",
            "credential": "D.O.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Pleasant Prairie, WI

Sources for this page

Verify at the official NPI Registry.