Active NPI
Andrew T. Cavanagh, MD
- Pediatrics Physician
- Pflugerville, TX
National Provider Identifier
1891701173
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- M1043
- Practice address
- 15803 Windermere Dr #103
Pflugerville, TX 78660-2482 - Phone
- (512) 989-2680
- Fax
- (512) 989-0953
- NPI assigned
- Jul 31, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | M1043 | TX | Primary |
Addresses
Primary practice location
15803 Windermere Dr #103
Pflugerville, TX 78660-2482
Mailing address
PO Box 26726
Austin, TX 78755-0726
Phone (512) 407-8686
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 172772901 | Medicaid | TX | |
| 172772903 | Medicaid | TX | |
| 172772904 | Medicaid | TX | |
| 172772902 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chisholm Trail Pediatrics Inc PA | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Primary Care Clinic/Center
- Georgetown, TX
- NPI 1114112745
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154304000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1305676800000",
"number": "1891701173",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 26726",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787550726",
"telephone_number": "512-407-8686",
"fax_number": "512-421-4489"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15803 WINDERMERE DR #103",
"city": "PFLUGERVILLE",
"state": "TX",
"postal_code": "786602482",
"telephone_number": "512-989-2680",
"fax_number": "512-989-0953"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAVANAGH",
"first_name": "ANDREW",
"middle_name": "T.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-31",
"last_updated": "2011-05-18",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "TX",
"license": "M1043",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "172772901",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "172772903",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "172772904",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "172772902",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Pflugerville, TX
- Kelley Jean Casey, LSCSW
- Patrick Cason, PHARMD
- Cathy A Castillo, MD
- Cater-2-U-Home Health Care Services, LLC
- Raymond Matthew Causa, LMT
- Janna Oddie Cavanaugh, PSY D
- Kimberly Smith Cavins, OTR
- Celemiah Home and Community Support Service Agency
- Centenary Healthcare Services, LLC
- Centex Easy Link Medical Supply Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.