Active NPI
Jeffrey C. Caverly, MD
- Diagnostic Radiology Physician
- Glendale, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- G81806
- Practice address
- 1509 Wilson Terrace
Glendale, CA 91206-4007 - Phone
- (818) 409-8000
- NPI assigned
- Mar 31, 2006
- Last updated
- Aug 18, 2025
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912968686 | Medicaid | CA | |
| 00G818060 | Other | CA | BLUE SHIELD |
| 1912968686 | Other | CA | BLUE CROSS |
| P10145172 | Other | RR MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, TX, NM, IL, WA, AZ, NY, FL, MI, DE
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 10
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
- Christiana Care Health Services Inc
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
| License | State | Type | Specialty |
|---|---|---|---|
| 81806 | CA | MD | Mental Health Counselor |
| G81806 | CA | MD | Diagnostic Radiology Physician |
| C1-0025584 | DE | MD | Diagnostic Radiology Physician |
| ME141068 | FL | MD | Diagnostic Radiology Physician |
Practice roles (60 of 100)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bristol Bay Area Health Corporation | Current | Accepting new patients | |
| Ochiltree Hospital District | Current | Accepting new patients | |
| Rockford Health Physicians | Current | Accepting new patients | |
| Ochiltree Hospital District | Current | Accepting new patients | |
| La Paz Regional Hospital Inc | Current | Accepting new patients | |
| Lubbock County Hospital District | Diagnostic Radiology | Current | Accepting new patients |
| Grays Harbor Community Hospital | Current | Accepting new patients | |
| Radiology Associates of South Carolina LLC | Diagnostic Radiology | Current | Accepting new patients |
| Dhew Ind HLTH SV HLTH SVS & MNTL HLTH Adm | Current | Accepting new patients | |
| Bristol Bay Area Health Corporation | Current | Accepting new patients | |
| Mercy Harvard Hospital Inc | Current | Accepting new patients | |
| First Medical Center Inc | Current | Accepting new patients | |
| Edward W Sparrow Hospital Association | Current | Accepting new patients | |
| Grays Harbor Community Hospital | Current | Accepting new patients | |
| Bristol Bay Area Health Corporation | Current | Accepting new patients | |
| Kayenta Alternative Rural Hospital | Current | Accepting new patients | |
| DHHS IHS Phoenix | Current | 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 | Current | Accepting new patients | |
| Bristol Bay Area Health Corporation | Current | Accepting new patients | |
| Ochiltree Hospital District | Current | Accepting new patients | |
| Empire State Radiology P C | Diagnostic Radiology | Current | Accepting new patients |
| Edward W Sparrow Hospital Association | Current | Accepting new patients | |
| DHHS IHS Phoenix Area | Current | Accepting new patients | |
| Bristol Bay Area Health Corporation | Current | Accepting new patients | |
| El Paso County Hospital District | Current | Accepting new patients | |
| Bayhealth Radiologists LLC | Diagnostic Radiology | Current | Accepting new patients |
| Bristol Bay Area Health Corporation | Current | Accepting new patients | |
| Central Valley Community Medical Imaging | Diagnostic Radiology | Current | Accepting new patients |
| DHHS IHS Phoenix Area | Current | Accepting new patients | |
| Bristol Bay Area Health Corporation | Current | Accepting new patients | |
| Mercy Harvard Hospital Inc | Current | Accepting new patients | |
| Lubbock County Hospital District | Diagnostic Radiology | Current | Accepting new patients |
| Freeport Memorial Hospital | Current | Accepting new patients | |
| Hospital & Medical Foundation of Paris, Inc. | Current | Accepting new patients | |
| Interfaith Professional Physician Services, P.C. | Diagnostic Radiology | Current | Accepting new patients |
| Carle West Physician Group Inc | Current | Accepting new patients | |
| DHHS, PHS, Naihs, Shiprock Hospital | Current | Accepting new patients | |
| Bristol Bay Area Health Corporation | Current | Accepting new patients | |
| Grays Harbor Community Hospital | Current | Accepting new patients | |
| Faculty Physicians and Surgeons of Llusm | Current | Accepting new patients | |
| Bristol Bay Area Health Corporation | Current | Accepting new patients | |
| Dhew Ind HLTH SV HLTH SVS & MNTL HLTH Adm | Current | Accepting new patients | |
| Faculty Physicians and Surgeons of Llusm | Diagnostic Radiology | Current | Accepting new patients |
| La Paz Regional Hospital Inc., Dba Parker Podiatry | Current | Accepting new patients | |
| Bristol Bay Area Health Corporation | Current | Accepting new patients | |
| Thorek Radiology Group NFP | Diagnostic Radiology | Current | Accepting new patients |
| La Paz Regional Hospital Inc | Current | Accepting new patients | |
| Mercy Health System Corporation | Current | Accepting new patients | |
| El Paso County Hospital District | Current | Accepting new patients | |
| Edward W Sparrow Hospital Association | Current | Accepting new patients | |
| The Brookdale Hospital Medical Center | Current | Accepting new patients | |
| Lansing Radiology Associates P C | Diagnostic Radiology | Current | Accepting new patients |
| Hospital & Medical Foundation of Paris, Inc. | Current | Accepting new patients | |
| Mercy Health System Corporation | Current | Accepting new patients | |
| Bristol Bay Area Health Corporation | Current | Accepting new patients | |
| Brookdale Hospital Medical Center | Current | 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
- jcaverly101958@direct.llu.edu
- 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.
-
dba Cmi
- Diagnostic Radiology Physician
- Fresno, CA
- NPI 1376637264
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Apple Valley, CA
- NPI 1205009917
-
dba Marshfield Medical Center - Dickinson Professional Services
- Emergency Medical Services (Emergency Medicine) Physician
- Iron Mountain, MI
- NPI 1891751186
CA, Diagnostic Radiology
-
dba Heart and Vascular Center - Interventional Radiology Department
- Vascular & Interventional Radiology Physician
- Lansing, MI
- NPI 1629517420
-
- General Acute Care Hospital
- Aberdeen, WA
- NPI 1154378859
-
dba Paris Community Hospital
- Critical Access Hospital
- Paris, IL
- NPI 1679502322
-
dba OBH Physician Associates
- Surgery Physician
- Brooklyn, NY
- NPI 1457643991
Diagnostic Radiology
-
- Critical Access Hospital
- Parker, AZ
- NPI 1053684555
-
dba UMC Radiology
- Diagnostic Radiology Physician
- Lubbock, TX
- NPI 1437170313
Hospital & facility affiliations 13
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Moreno Valley, CA
- NPI 1821159195
-
dba Bayhealth Hospital, Kent Campus
- General Acute Care Hospital
- Dover, DE
- NPI 1467546135
-
dba Univeristy Medical Center
- Land Ambulance
- Lubbock, TX
- NPI 1174620546
Hospital
-
dba University Medical Center
- Ambulatory Surgical Clinic/Center
- Lubbock, TX
- NPI 1538245717
Hospital
-
dba University Medical Center Pharmacy
- Community/Retail Pharmacy
- Lubbock, TX
- NPI 1679521652
Hospital
-
dba University Medical Center
- General Acute Care Hospital
- Lubbock, TX
- NPI 1821087164
-
dba Univeristy Medical Center
- Hearing and Speech Clinic/Center
- Lubbock, TX
- NPI 1831299114
Hospital
-
dba Presbyterian Hospital
- General Acute Care Hospital
- Albuquerque, NM
- NPI 1215913470
-
dba Presbyterian Kaseman Psych Unit
- Psychiatric Hospital Unit
- Albuquerque, NM
- NPI 1598740482
-
- General Acute Care Hospital
- Brooklyn, NY
- NPI 1346380870
-
- General Acute Care Hospital
- Brooklyn, NY
- NPI 1356307656
-
- General Acute Care Hospital
- Brooklyn, NY
- NPI 1487724712
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.