Individual provider Active NPI

Michael F. Kaveney, M.D.

  • Orthopaedic Surgery Physician
  • Fishers, IN
National Provider Identifier
1902844749
Registry record updated Dec 15, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
01033579 Issued in IN
Practice address
13914 Southeastern Pkwy
Suite 201
Fishers, IN 46037-7127
Phone
(317) 275-1999
Fax
(317) 275-1945
NPI assigned
Jun 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X 40514 AZ
Orthopaedic Surgery Physician 207X00000X 01033579 IN Primary

Addresses

Primary practice location

13914 Southeastern Pkwy
Suite 201
Fishers, IN 46037-7127

Mailing address

13914 Southeastern Pkwy
Suite 201
Fishers, IN 46037-7127
Phone (317) 275-1999

Other identifiers 4

IdentifierTypeStateIssuer
4389953OtherINAETNA PIN
100088590MedicaidIN
000000093732OtherINANTHEM PIN
701446MedicaidAZ

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

State licenses

LicenseStateTypeSpecialty
01033579INMDOrthopaedic Surgery Physician
40514AZMDSports Medicine (Orthopaedic Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Livi Medical Services LLC PastSince Aug 26, 2024 Accepting new patients
Wabash Valley Urological Assoc Inc Past Accepting new patients

Organizations & group practices 2

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": "1149292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1513296000000",
    "number": "1902844749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13914 SOUTHEASTERN PKWY",
            "address_2": "SUITE 201",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460377127",
            "telephone_number": "317-275-1999",
            "fax_number": "317-275-1945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13914 SOUTHEASTERN PKWY",
            "address_2": "SUITE 201",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460377127",
            "telephone_number": "317-275-1999",
            "fax_number": "317-275-1945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAVENEY",
        "first_name": "MICHAEL",
        "middle_name": "F.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-03",
        "last_updated": "2017-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "AZ",
            "license": "40514",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "IN",
            "license": "01033579",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PIN",
            "identifier": "4389953",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100088590",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PIN",
            "identifier": "000000093732",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "701446",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fishers, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.