Individual provider Active NPI

Nick George Cavros, M.D.

  • Cardiovascular Disease Physician
  • Abingdon, VA
National Provider Identifier
1851345326
Registry record updated Jan 30, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
0101050596 Issued in VA
Practice address
16000 Johnston Memorial Dr
Suite 212a
Abingdon, VA 24211-7664
Phone
(276) 258-3740
Fax
(276) 258-3745
NPI assigned
May 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology Physician 207RI0011X 0101050596 VA
Cardiovascular Disease Physician 207RC0000X 0101050596 VA Primary

Addresses

Primary practice location

16000 Johnston Memorial Dr
Suite 212a
Abingdon, VA 24211-7664

Mailing address

16000 Johnston Memorial Dr
Suite 212a
Abingdon, VA 24211-7664
Phone (276) 258-3740

Other identifiers 3

IdentifierTypeStateIssuer
1851345326MedicaidVA
2157175MedicaidLA
Q023873MedicaidTN

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
I20160308000893 VA Practitioner - Cardiovascular Disease (Cardiology) 9234119413 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101050596VAMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Blue Ridge Medical Management Corporation CurrentSince Feb 8, 2016 Accepting new patients
Blue Ridge Medical Management Corporation Cardiovascular Disease CurrentSince Feb 8, 2016 Accepting new patients
Cardiovascular Associates of Southeaster Pennsylvania PC Cardiovascular Disease Past Accepting new patients
CFL Associates, LTD. Cardiovascular Disease Past Accepting new patients
Pinehurst Cardiology Consultants PLLC Cardiovascular Disease Past Accepting new patients

Locations

16000 Johnston Memorial Dr
Ste 212A
Abingdon, VA 24211
Phone (276) 258-1000

323 Falls Dr NW
Abingdon, VA 24210
Phone (276) 628-2612

Organizations & group practices 5

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": "1148083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485734400000",
    "number": "1851345326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16000 JOHNSTON MEMORIAL DR",
            "address_2": "SUITE 212A",
            "city": "ABINGDON",
            "state": "VA",
            "postal_code": "242117664",
            "telephone_number": "276-258-3740",
            "fax_number": "276-258-3745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16000 JOHNSTON MEMORIAL DR",
            "address_2": "SUITE 212A",
            "city": "ABINGDON",
            "state": "VA",
            "postal_code": "242117664",
            "telephone_number": "276-258-3740",
            "fax_number": "276-258-3745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAVROS",
        "first_name": "NICK",
        "middle_name": "GEORGE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-20",
        "last_updated": "2017-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "VA",
            "license": "0101050596",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "VA",
            "license": "0101050596",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1851345326",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2157175",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q023873",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Abingdon, VA

Sources for this page

Verify at the official NPI Registry.