Individual provider Active NPI

Terrence J Cavanaugh, MD

  • Diagnostic Radiology Physician
  • Phoenix, AZ
National Provider Identifier
1881674695
Registry record updated Dec 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
29952 Issued in AZ
Practice address
350 W Thomas Rd
Phoenix, AZ 85013-4409
Phone
(602) 406-3430
NPI assigned
Jan 18, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 6, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 29952 AZ Primary

Addresses

Primary practice location

350 W Thomas Rd
Phoenix, AZ 85013-4409

Mailing address

PO Box 548
Cottonwood, AZ 86326-0548
Phone (928) 634-0665

Other practice location 1

2200 E Show Low Lake Rd
Show Low, AZ 85901-7881
Phone (928) 537-6338

Other identifiers 1

IdentifierTypeStateIssuer
703737MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20041006000504 AZ Practitioner - Diagnostic RadiologyPractitioner - Pain Management 5991764920 Reassigns benefits to 3 organizations
I20110512000675 TX Practitioner - Diagnostic RadiologyPractitioner - Interventional Pain ManagementPractitioner - Internal MedicinePractitioner - Interventional Radiology 5991764920 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic RadiologyAlso: Pain Management
Education
Kansas Medical College, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northern Arizona Radiology P CGroup PAC ID 4880683085, 20 clinicians

Practice addresses (Care Compare)

1200 N Beaver St
Flagstaff, AZ 86001-3118
Phone (928) 779-3366

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
29952AZMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northern Arizona Radiology P C Diagnostic Radiology CurrentSince Mar 1, 2023 Accepting new patients
DHHS IHS Phoenix Area CurrentSince Sep 6, 2014 Accepting new patients
Sonoran Radiology LTD Diagnostic Radiology CurrentSince May 17, 2022 Accepting new patients
Sjhmc Physician Services CurrentSince Dec 1, 2022 Accepting new patients
University of Maryland Diagnostic Radiology, LLC Diagnostic Radiology CurrentSince Jul 1, 2023 Accepting new patients
St. Joseph's Hospital and Medical Center CurrentSince Aug 30, 2020 Accepting new patients
University of Maryland Diagnostic Radiology, LLC Diagnostic Radiology CurrentSince Jul 1, 2023 Accepting new patients
St Josephs Pathology Current Accepting new patients
Banner Imaging Services LLC Diagnostic Radiology Current Accepting new patients
White Mountain Radiology Diagnostic Radiology CurrentSince Jul 1, 2002 Accepting new patients

Locations (25 of 27)

2050 W Southern Ave
Apache Junction, AZ 85120
Phone (480) 237-3200

1828 E Florence Blvd
Ste 118
Casa Grande, AZ 85122
Phone (520) 381-9729

1125 S Alma School Rd
Ste 110
Chandler, AZ 85286

269 S Candy Ln
Cottonwood, AZ 86326
Phone (928) 634-2251

1200 N Beaver St
Flagstaff, AZ 86001
Phone (928) 213-6235

665 N Gilbert Rd
Ste 154
Gilbert, AZ 85234
Phone (480) 507-4500

7330 N 99th Ave
Ste 200
Glendale, AZ 85307
Phone (602) 406-0033

5605 W Eugie Ave
Ste 110
Glendale, AZ 85304
Phone (602) 938-2002

17040 N 51st Ave
Ste 100
Glendale, AZ 85308
Phone (602) 406-1164

1800 N Civic Sq
Ste 120
Goodyear, AZ 85395
Phone (928) 813-4624

4975 N Dysart Rd
Unit 100
Litchfield Pk, AZ 85340
Phone (602) 406-8700

6553 E Baywood Ave
Ste 102
Mesa, AZ 85206
Phone (480) 268-7600

6424 E Broadway Rd
Ste 101
Mesa, AZ 85206
Phone (602) 830-0619

6750 E Baywood Ave
Mesa, AZ 85206
Phone (480) 854-5000

1201 S Alma School Rd
Ste 14500
Mesa, AZ 85210
Phone (602) 698-7715

2222 E Highland Ave
Ste 106
Phoenix, AZ 85016
Phone (602) 483-6165

500 W Thomas Rd
Ste 680
Phoenix, AZ 85013
Phone (602) 406-6017

4200 E Camelback Rd
Ste 105
Phoenix, AZ 85018

350 W Thomas Rd
Phoenix, AZ 85013
Phone (480) 339-5001

9305 W Thomas Rd
Ste 100
Phoenix, AZ 85037
Phone (623) 842-5652

2200 E Show Low Lake Rd
Show Low, AZ 85901
Phone (928) 537-4375

4951 S White Mountain Rd
Show Low, AZ 85901
Phone (928) 532-5848

1625 N Campbell Ave
Tucson, AZ 85719

1501 N Williamson Ave
Winslow, AZ 86047
Phone (928) 289-4691

File 56765
Los Angeles, CA 90074

Organizations & group practices 11

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 6

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": "1137542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670284800000",
    "number": "1881674695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 548",
            "city": "COTTONWOOD",
            "state": "AZ",
            "postal_code": "863260548",
            "telephone_number": "928-634-0665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 W THOMAS RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850134409",
            "telephone_number": "602-406-3430"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2200 E Show Low Lake Rd",
            "address_purpose": "LOCATION",
            "city": "Show Low",
            "state": "AZ",
            "postal_code": "859017881",
            "country_code": "US",
            "telephone_number": "928-537-6338",
            "fax_number": "928-532-5947",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAVANAUGH",
        "first_name": "TERRENCE",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-18",
        "last_updated": "2022-12-06",
        "certification_date": "2022-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "AZ",
            "license": "29952",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "703737",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.