Jeffrey C. Caverly, MD

Individual provider Active NPI Diagnostic Radiology Physician · Glendale, CA

NPI 1912968686 · NPPES record last updated Aug 18, 2025

Key facts

NPI
1912968686
Entity type
Individual (NPI type 1)
Primary specialty
Diagnostic Radiology Physician 2085R0202X
License
G81806 (CA)
Practice address
1509 Wilson Terrace
Glendale, CA 91206-4007
Phone
(818) 409-8000
NPI assigned
Mar 31, 2006
Sex
Male
Sole proprietor
No

Organizations & group practices 202

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.

View all 202

Hospital & facility affiliations 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Medicare Care Compare profile

Specialty
Diagnostic Radiology
Education
University of Southern California Keck School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Humboldt Park Health (106 clinicians)
Radiology Associates of Albuquerque PA (103 clinicians)
Central Texas Radiological Associates PA (61 clinicians)
Dickinson County Healthcare System (103 clinicians)
Faculty Physicians and Surgeons of Llusm (1,313 clinicians)
La Paz Regional Hospital Inc (50 clinicians)
Edward W Sparrow Hospital Association (698 clinicians)
Interfaith Professional Physician Services PC (383 clinicians)
Central Valley Community Medical Imaging (97 clinicians)
On-Line Radiology Medical Group Inc (66 clinicians)
Bayhealth Radiologists LLC (91 clinicians)
Pco PC (82 clinicians)
Christiana Care Health Services Inc (1,480 clinicians)
Lubbock County Hospital District (97 clinicians)
Hospital and Medical Foundation of Paris Inc (123 clinicians)
Rockford Health Physicians (520 clinicians)
Thorek Radiology Group NFP (41 clinicians)
Mercy Health System Corporation (749 clinicians)
Grays Harbor Community Hospital (91 clinicians)

Practice addresses (Care Compare)

Corona del Mar, CA 92625
Phone (773) 292-8200

San Clemente, CA 92672
Phone (800) 841-4236

1044 N Francisco Ave
Chicago, IL 60622-2743
Phone (773) 292-8227

11370 Anderson St
Loma Linda, CA 92354-3450

1200 W Mohave Rd
Parker, AZ 85344-6349
Phone (928) 669-7382

1215 E Michigan Ave
Unitversity of Michigan Health Spar
Lansing, MI 48912-1811
Phone (517) 364-5650

1545 Atlantic Ave
Brooklyn, NY 11213-1122
Phone (718) 613-4000

1827 E Fir Ave
Suite 101
Fresno, CA 93720-3860
Phone (559) 256-1975

26520 Cactus Ave
Moreno Valley, CA 92555-3927
Phone (951) 486-4000

28062 Baxter Rd
Murrieta, CA 92563-1401
Phone (951) 290-4000

315 Calle Pescador
San Clemente, CA 92672-2206
Phone (610) 892-8889

315 Goldenrod Ave
Corona del Mar, CA 92625-2905
Phone (559) 256-1975

3762 Tibbetts St
Riverside, CA 92506-2605
Phone (951) 686-2224

4755 Ogletown Stanton Rd
Newark, DE 19718-2200
Phone (302) 733-6662

602 Indiana Ave
Lubbock, TX 79415-3364
Phone (806) 775-8400

6901 Medical Pkwy
Waco, TX 76712-7910
Phone (254) 751-4000

721 E Court St
Paris, IL 61944-2460
Phone (217) 465-4141

8201 E Riverside Blvd
Rockford, IL 61114-2300
Phone (815) 971-2000

850 W Irving Park Rd
Chicago, IL 60613-3077
Phone (773) 975-6722

875 S Route 31
Crystal Lake, IL 60014-8190
Phone (779) 220-5500

915 Anderson Dr
Aberdeen, WA 98520-1006
Phone (360) 532-8330

File Number
Suite 54701
Los Angeles, CA 90074-4701

Hospital & facility affiliations

  • Presbyterian Hospital Hospital · Albuquerque, NM · CCN 320021
  • Riverside University Health System-Medical Center Hospital · Moreno Valley, CA · CCN 050292
  • Bayhealth Medical Center, Kent Campus Hospital · Dover, DE · CCN 080004
  • University Medical Center Hospital · Lubbock, TX · CCN 450686
  • Brookdale Hospital Medical Center Hospital · Brooklyn, NY · CCN 330233

Medicare participation

Medicare fee-for-service enrollment
Enrolled (10 enrollments) in CA, TX, NM, IL, WA, AZ, NY, FL, MI, DE
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20070516000390 CA Practitioner - Diagnostic Radiology 2961509500 Reassigns benefits to 17 organizations
I20140522002123 TX Practitioner - Diagnostic Radiology 2961509500 Reassigns benefits to 13 organizations
I20150410001381 NM Practitioner - Diagnostic Radiology 2961509500 Reassigns benefits to 2 organizations
I20150526000946 IL Practitioner - Diagnostic Radiology 2961509500 Reassigns benefits to 8 organizations
I20171215001537 WA Practitioner - Diagnostic Radiology 2961509500 Reassigns benefits to 1 organization
I20190131003403 AZ Practitioner - Diagnostic Radiology 2961509500 Reassigns benefits to 2 organizations
I20200306002080 NY Practitioner - Diagnostic Radiology 2961509500 Reassigns benefits to 2 organizations
I20200626001988 FL Practitioner - Diagnostic Radiology 2961509500 Reassigns benefits to 1 organization
I20240802001891 MI Practitioner - Diagnostic Radiology 2961509500 Reassigns benefits to 1 organization
I20240826003450 DE Practitioner - Diagnostic Radiology 2961509500 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G81806CAMDDiagnostic Radiology Physician
C1-0025584DEMDDiagnostic Radiology Physician
ME141068FLMDDiagnostic Radiology Physician
036131485ILMDDiagnostic Radiology Physician

Practice roles (60 of 104)

OrganizationSpecialtyStatusNew patients
Empire State Radiology P C Diagnostic Radiology Current
since Aug 9, 2023
Accepting new patients
Central Valley Community Medical Imaging Diagnostic Radiology Current
since May 1, 2020
Accepting new patients
First Medical Center Inc Current
since Nov 18, 2016
Accepting new patients
Grays Harbor Community Hospital Current Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
DHHS, PHS, Naihs, Gallup Indian Medical Center Current
since Apr 14, 2014
Accepting new patients
Central Texas Radiological Associates PA Diagnostic Radiology Current
since Jan 1, 2025
Accepting new patients
Bristol Bay Area Health Corporation Current
since Apr 25, 2018
Accepting new patients
Carle West Physician Group Inc Current
since Jun 28, 2023
Accepting new patients
Ochiltree Hospital District Current
since Oct 1, 2025
Accepting new patients
Edward W Sparrow Hospital Association Current
since Jul 1, 2024
Accepting new patients
Dhew Ind HLTH SV HLTH SVS & MNTL HLTH Adm Current
since Jun 1, 2015
Accepting new patients
Kayenta Alternative Rural Hospital Current
since Oct 17, 2018
Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Mercy Health System Corporation Current
since Jun 1, 2025
Accepting new patients
Mercy Health System Corporation Current
since Jun 1, 2025
Accepting new patients
Brookdale Hospital Medical Center Current
since Jan 11, 2020
Accepting new patients
La Paz Regional Hospital Inc Current
since Jun 29, 2022
Accepting new patients
DHHS IHS Phoenix Current
since Mar 27, 2024
Accepting new patients
Humboldt Park Health Current
since Sep 6, 2022
Accepting new patients
The Brookdale Hospital Medical Center Current
since Jan 11, 2020
Accepting new patients
Lubbock County Hospital District Diagnostic Radiology Current Accepting new patients
Nor-Lea Hospital District Current
since Jun 15, 2023
Accepting new patients
Mercy Harvard Hospital Inc Current
since Dec 1, 2025
Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
On-Line Radiology Medical Group Inc Diagnostic Radiology Current
since Feb 1, 2015
Accepting new patients
Lubbock County Hospital District Diagnostic Radiology Current
since Jun 19, 2019
Accepting new patients
Mercy Harvard Hospital Inc Current
since Dec 1, 2025
Accepting new patients
Christiana Care Health Services, Inc Current Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Edward W Sparrow Hospital Association Current
since Jul 1, 2024
Accepting new patients
Faculty Physicians and Surgeons of Llusm Diagnostic Radiology Current
since Jul 1, 2019
Accepting new patients
DHHS IHS Phoenix Area Current Accepting new patients
Radiology Associates of South Carolina LLC Diagnostic Radiology Current
since May 5, 2024
Accepting new patients
Pco PC Diagnostic Radiology Current
since Jan 1, 2020
Accepting new patients
Thorek Memorial Hospital Current Accepting new patients
DHHS,PHS,Naihs, Gallup Indian Medical Center Current
since Apr 14, 2014
Accepting new patients
Rockford Health Physicians Current
since Jun 1, 2025
Accepting new patients
Christiana Care Health Services Inc Diagnostic Radiology Current
since Aug 12, 2024
Accepting new patients
Ochiltree Hospital District Current Accepting new patients
Edward W Sparrow Hospital Association Current Accepting new patients
Ochiltree Hospital District Current
since Oct 1, 2025
Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Bristol Bay Area Health Corportation Current Accepting new patients
La Paz Regional Hospital Inc., Dba Parker Podiatry Current
since Jun 29, 2022
Accepting new patients
Lansing Radiology Associates P C Diagnostic Radiology Current
since Oct 28, 2022
Accepting new patients
Faculty Physicians and Surgeons of Llusm Current
since Jul 1, 2019
Accepting new patients
Grays Harbor Community Hospital Current
since Oct 4, 2017
Accepting new patients
La Paz Regional Hospital Inc Current
since Jan 1, 2026
Accepting new patients
Hospital & Medical Foundation of Paris, Inc. Current
since May 1, 2023
Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Irene Benn Medical Center Current
since Mar 27, 2024
Accepting new patients
El Paso County Hospital District Current
since Nov 1, 2023
Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Thorek Radiology Group NFP Diagnostic Radiology Current
since Oct 30, 2020
Accepting new patients
Marshfield Clinic Inc Current
since Jan 10, 2024
Accepting new patients
Bristol Bay Area Health Corporation Current
since Apr 25, 2018
Accepting new patients
Bayhealth Radiologists LLC Diagnostic Radiology Current
since Jan 22, 2024
Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients

Locations (25 of 78)

12033 Agency Rd
Parker, AZ 85344
Phone (760) 572-4137

1713 S Kofa Ave
Ste A
Parker, AZ 85344
Phone (928) 669-7380

1200 W Mohave Rd
Parker, AZ 85344
Phone (928) 669-7300

4212 N 16th St
Phoenix, AZ 85016
Phone (602) 248-4187

18300 US Highway 18
Apple Valley, CA 92307
Phone (760) 424-2311

11841 South St
Cerritos, CA 90703
Phone (562) 809-8082

1827 E Fir Ave
Ste 101
Fresno, CA 93720
Phone (559) 297-9002

1246 W 155th St
Gardena, CA 90247
Phone (310) 323-5330

11370 Anderson St
#B100
Loma Linda, CA 92354
Phone (909) 558-2848

11234 Anderson St
Loma Linda, CA 92350
Phone (909) 558-3016

File Number 54701
Los Angeles, CA 90074
Phone (909) 651-4300

8391 Beverly Blvd
Unit 264
Los Angeles, CA 90048
Phone (213) 247-7251

26520 Cactus Ave
Moreno Valley, CA 92555
Phone (951) 486-5610

28062 Baxter Rd
Murrieta, CA 92563
Phone (951) 290-4000

101 The City Dr S
Orange, CA 92868
Phone (714) 456-6054

3762 Tibbetts St
Riverside, CA 92506
Phone (951) 686-2224

1770 Iowa Ave
Ste 280
Riverside, CA 92507
Phone (661) 948-4781

640 S State St
Dover, DE 19901
Phone (302) 744-4700

100 Wellness Way
Milford, DE 19963
Phone (302) 422-3311

4755 Ogletown Stanton Rd
Newark, DE 19718
Phone (302) 733-1700

4755 Ogletown Stanton Rd
Ste 1900
Newark, DE 19718
Phone (302) 733-6510

401 N Carter Rd
Smyrna, DE 19977
Phone (302) 653-2010

Carol Stream, IL 60122

8175 Reliable Pkwy
Chicago, IL 60686

2741 Paysphere Cir
Chicago, IL 60674

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989

Interoperability endpoints

  • Direct secure messaging: jcaverly101958@direct.llu.edu
  • Direct secure messaging: jcaverly274373@mhsdirect.net

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X C1-0025584 DE
Diagnostic Radiology Physician 2085R0202X ME141068 FL
Diagnostic Radiology Physician 2085R0202X 036131485 IL
Diagnostic Radiology Physician 2085R0202X G81806 CA Yes

Addresses

Primary practice location

1509 Wilson Terrace
Glendale, CA 91206-4007

Mailing address

2200 North Mayfair Road
Suite 200
Wauwatosa, WI 53226-2252
Phone (414) 258-9511

Other practice location 1

721 E Court St
Paris, IL 61944-2460
Phone (217) 465-4141

Other practice location 2

4755 Ogletown Stanton Road
Newark, DE 19718-2200
Phone (302) 733-1840

Other practice location 3

8201 E Riverside Blvd
Rockford, IL 61114-2300
Phone (815) 971-7000

Other identifiers

IdentifierTypeStateIssuer
P10145172OtherRR MEDICARE
00G818060OtherCABLUE SHIELD
1912968686MedicaidCA
1912968686OtherCABLUE CROSS

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 18, 2025.

{
    "created_epoch": "1143763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755475200000",
    "number": "1912968686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 NORTH MAYFAIR ROAD",
            "address_2": "SUITE 200",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532262252",
            "telephone_number": "414-258-9511",
            "fax_number": "414-607-3946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1509 WILSON TERRACE",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912064007",
            "telephone_number": "818-409-8000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "721 E Court St",
            "address_purpose": "LOCATION",
            "city": "Paris",
            "state": "IL",
            "postal_code": "619442460",
            "country_code": "US",
            "telephone_number": "217-465-4141",
            "fax_number": "217-465-5615",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4755 OGLETOWN STANTON ROAD",
            "address_purpose": "LOCATION",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197182200",
            "country_code": "US",
            "telephone_number": "302-733-1840",
            "fax_number": "302-733-1633",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8201 E Riverside Blvd",
            "address_purpose": "LOCATION",
            "city": "Rockford",
            "state": "IL",
            "postal_code": "611142300",
            "country_code": "US",
            "telephone_number": "815-971-7000",
            "fax_number": "815-968-4795",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAVERLY",
        "first_name": "JEFFREY",
        "middle_name": "C.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-31",
        "last_updated": "2025-08-18",
        "certification_date": "2025-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "DE",
            "license": "C1-0025584",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME141068",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IL",
            "license": "036131485",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "G81806",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P10145172",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "00G818060",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1912968686",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "1912968686",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

All providers in Glendale, CA · Diagnostic Radiology Physician in California

Sources for this page

Verify at the official NPI Registry.