Individual provider Active NPI

Jeffrey C. Caverly, MD

  • Diagnostic Radiology Physician
  • Glendale, CA
National Provider Identifier
1912968686
Registry record updated Aug 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
G81806 Issued in CA
Practice address
1509 Wilson Terrace
Glendale, CA 91206-4007
Phone
(818) 409-8000
NPI assigned
Mar 31, 2006
Last updated
Aug 18, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2025

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

Specialties & licenses 4

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 Primary

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 4

IdentifierTypeStateIssuer
1912968686MedicaidCA
00G818060OtherCABLUE SHIELD
1912968686OtherCABLUE CROSS
P10145172OtherRR MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, TX, NM, IL, WA, AZ, NY, FL, MI, DE10 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 10

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

Care Compare profile

Medicare Care Compare
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 HealthGroup PAC ID 8921907072, 106 clinicians
Central Texas Radiological Associates PAGroup PAC ID 4385740141, 61 clinicians
La Paz Regional Hospital IncGroup PAC ID 1557273356, 50 clinicians
Interfaith Professional Physician Services PCGroup PAC ID 9931378171, 383 clinicians
Central Valley Community Medical ImagingGroup PAC ID 5799679874, 97 clinicians
Bayhealth Radiologists LLCGroup PAC ID 0446601876, 91 clinicians
Pco PCGroup PAC ID 5395179329, 82 clinicians
Christiana Care Health Services IncGroup PAC ID 9739097569, shared by 25 NPIs, 1,480 clinicians
Lubbock County Hospital DistrictGroup PAC ID 4385538941, 97 clinicians
Rockford Health PhysiciansGroup PAC ID 2567374036, 520 clinicians
Thorek Radiology Group NFPGroup PAC ID 1658786421, 41 clinicians
Mercy Health System CorporationGroup PAC ID 7416860440, 749 clinicians
Grays Harbor Community HospitalGroup PAC ID 3577462365, 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

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
81806CAMDMental Health Counselor
G81806CAMDDiagnostic Radiology Physician
C1-0025584DEMDDiagnostic Radiology Physician
ME141068FLMDDiagnostic Radiology Physician

Practice roles (60 of 100)

OrganizationSpecialtyStatusNew patients
Bristol Bay Area Health Corporation Current Accepting new patients
Ochiltree Hospital District CurrentSince Oct 1, 2025 Accepting new patients
Rockford Health Physicians CurrentSince Jun 1, 2025 Accepting new patients
Ochiltree Hospital District Current Accepting new patients
La Paz Regional Hospital Inc CurrentSince Jan 1, 2026 Accepting new patients
Lubbock County Hospital District Diagnostic Radiology CurrentSince Jun 19, 2019 Accepting new patients
Grays Harbor Community Hospital CurrentSince Oct 4, 2017 Accepting new patients
Radiology Associates of South Carolina LLC Diagnostic Radiology CurrentSince May 5, 2024 Accepting new patients
Dhew Ind HLTH SV HLTH SVS & MNTL HLTH Adm CurrentSince Jun 1, 2015 Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Mercy Harvard Hospital Inc CurrentSince Dec 1, 2025 Accepting new patients
First Medical Center Inc CurrentSince Nov 18, 2016 Accepting new patients
Edward W Sparrow Hospital Association CurrentSince Jul 1, 2024 Accepting new patients
Grays Harbor Community Hospital Current Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Kayenta Alternative Rural Hospital CurrentSince Oct 17, 2018 Accepting new patients
DHHS IHS Phoenix CurrentSince Mar 27, 2024 Accepting new patients
Bristol Bay Area Health Corportion Current Accepting new patients
Faculty Physicians and Surgeons of Llusm Current Accepting new patients
DHHS,PHS,Naihs, Gallup Indian Medical Center CurrentSince Apr 14, 2014 Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Ochiltree Hospital District CurrentSince Oct 1, 2025 Accepting new patients
Empire State Radiology P C Diagnostic Radiology CurrentSince Aug 9, 2023 Accepting new patients
Edward W Sparrow Hospital Association CurrentSince Jul 1, 2024 Accepting new patients
DHHS IHS Phoenix Area CurrentSince Mar 27, 2024 Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
El Paso County Hospital District CurrentSince Nov 1, 2023 Accepting new patients
Bayhealth Radiologists LLC Diagnostic Radiology CurrentSince Jan 22, 2024 Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Central Valley Community Medical Imaging Diagnostic Radiology CurrentSince May 1, 2020 Accepting new patients
DHHS IHS Phoenix Area Current Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Mercy Harvard Hospital Inc CurrentSince Dec 1, 2025 Accepting new patients
Lubbock County Hospital District Diagnostic Radiology Current Accepting new patients
Freeport Memorial Hospital CurrentSince May 1, 2022 Accepting new patients
Hospital & Medical Foundation of Paris, Inc. CurrentSince May 1, 2023 Accepting new patients
Interfaith Professional Physician Services, P.C. Diagnostic Radiology CurrentSince Dec 13, 2023 Accepting new patients
Carle West Physician Group Inc CurrentSince Jun 28, 2023 Accepting new patients
DHHS, PHS, Naihs, Shiprock Hospital CurrentSince Nov 3, 2014 Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Grays Harbor Community Hospital CurrentSince Oct 4, 2017 Accepting new patients
Faculty Physicians and Surgeons of Llusm CurrentSince Jul 1, 2019 Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Dhew Ind HLTH SV HLTH SVS & MNTL HLTH Adm CurrentSince Jun 1, 2015 Accepting new patients
Faculty Physicians and Surgeons of Llusm Diagnostic Radiology CurrentSince Jul 1, 2019 Accepting new patients
La Paz Regional Hospital Inc., Dba Parker Podiatry CurrentSince Jun 29, 2022 Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Thorek Radiology Group NFP Diagnostic Radiology CurrentSince Oct 30, 2020 Accepting new patients
La Paz Regional Hospital Inc CurrentSince Jun 29, 2022 Accepting new patients
Mercy Health System Corporation CurrentSince Jun 1, 2025 Accepting new patients
El Paso County Hospital District CurrentSince Nov 1, 2023 Accepting new patients
Edward W Sparrow Hospital Association Current Accepting new patients
The Brookdale Hospital Medical Center CurrentSince Jan 11, 2020 Accepting new patients
Lansing Radiology Associates P C Diagnostic Radiology CurrentSince Oct 28, 2022 Accepting new patients
Hospital & Medical Foundation of Paris, Inc. CurrentSince May 1, 2023 Accepting new patients
Mercy Health System Corporation CurrentSince Jun 1, 2025 Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Brookdale Hospital Medical Center CurrentSince Jan 11, 2020 Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients

Locations (25 of 78)

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

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

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

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

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

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

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

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

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

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

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

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

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

2741 Paysphere Cir
Chicago, IL 60674

Networks

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

Interoperability endpoints

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

Organizations & group practices 104

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 104

Hospital & facility affiliations 13

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

View all 13

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "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": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1912968686",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "00G818060",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "1912968686",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P10145172",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

Verify at the official NPI Registry.