Individual provider Active NPI

Michael Thomas Cavender, D.O.

  • Family Medicine Physician
  • Verona, VA
National Provider Identifier
1831453604
Registry record updated Sep 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0102203521 Issued in VA
Practice address
1371 Lee Hwy
Verona, VA 24482
Phone
(540) 248-3413
NPI assigned
Jun 27, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2023

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 0102203521 VA Primary

Addresses

Primary practice location

1371 Lee Hwy
Verona, VA 24482

Mailing address

213 S Jefferson St Ste 1006
Roanoke, VA 24011-1713

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mcavender125798@direct.carilionclinic.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20200527000794 VA Practitioner - Family Practice 8921395229 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Lake Erie College of Osteopathic Medicine, Erie, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carilion Healthcare Corporation 540 clinicians
Select Physical Therapy Holdings Inc 1,992 clinicians

Practice addresses (Care Compare)

1371 Lee Hwy
Verona, VA 24482-2908
Phone (540) 248-3413

2303 N Augusta St
Suite E
Staunton, VA 24401-2597
Phone (540) 886-4510

Hospital & facility affiliations

  • Amedisys Home Health Care Home health agency, Staunton, VA, CCN 497646
  • Augusta Health Hospital, Fishersville, VA, CCN 490018
  • Sentara RMH Medical Center Hospital, Harrisonburg, VA, CCN 490004
  • University of Virginia Medical Center Hospital, Charlottesville, VA, CCN 490009

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions15
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0102203521VAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Carilion Healthcare Corporation CurrentSince Jun 21, 2020 Accepting new patients
Carilion Healthcare Corporation CurrentSince Jun 21, 2020 Accepting new patients

Locations

213 S Jefferson St
Ste 1006
Roanoke, VA 24011
Phone (540) 224-5353

213 S Jefferson St
Ste 625
Roanoke, VA 24011
Phone (540) 224-5677

6415 Peters Creek Rd
Roanoke, VA 24019
Phone (703) 562-2110

Interoperability endpoints

  • Direct secure messaging: mcavender125798@direct.carilionclinic.org

Organizations & group practices 8

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.

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": "1340755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695859200000",
    "number": "1831453604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213 S JEFFERSON ST STE 1006",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240111713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1371 LEE HWY",
            "city": "VERONA",
            "state": "VA",
            "postal_code": "24482",
            "telephone_number": "540-248-3413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAVENDER",
        "first_name": "MICHAEL",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-27",
        "last_updated": "2023-09-28",
        "certification_date": "2023-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0102203521",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mcavender125798@direct.carilionclinic.org",
            "affiliation": "N",
            "endpointDescription": "mcavender125798@direct.carilionclinic.org",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1371 Lee Highway",
            "city": "Verona",
            "state": "VA",
            "country_code": "US",
            "postal_code": "24482",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Verona, VA

Sources for this page

Verify at the official NPI Registry.