Leroy Caudill, DO

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

01022036975 Issued in VA

Practice address

459 Locust Ave
MB 26
Charlottesville, VA 22902-4808

Phone

(434) 982-7150

Fax

(434) 982-7147

NPI assigned

Jan 24, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

State licenses

Practice roles

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.

• Martha Jefferson Hospital

  • Endoscopy Clinic/Center
  • Charlottesville, VA
  • NPI 1942189022
  NPD (past)
• Skyline Emergency Physicians, LLC

  • Emergency Medicine Physician
  • Culpeper, VA
  • NPI 1669428033
  NPD (past)

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

{
    "created_epoch": "1138060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217980800000",
    "number": "1912977828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11647",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321201647",
            "telephone_number": "386-274-7800",
            "fax_number": "386-274-7801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "459 LOCUST AVE",
            "address_2": "MB 26",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229024808",
            "telephone_number": "434-982-7150",
            "fax_number": "434-982-7147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAUDILL",
        "first_name": "LEROY",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-24",
        "last_updated": "2008-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "VA",
            "license": "01022036975",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010134064",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMUNITY HEALTH",
            "identifier": "50101",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOUTHERN HEALTH",
            "identifier": "165934",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM SVC/HEALTHKEEPERS",
            "identifier": "166054",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "50101",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Catherine M Lawder LCSW PLLC
• Catherine Randall, PHD, LCSW LLC
• Catherine Sacks, LCSW, PLC
• Helen P. Cathro, M.D.
• Janelle L Catoe, BEHAVIOR TECHNICIAN
• Samuel D Caughron, MD
• Ludimila L Cavalcante, M.D.
• Cavalier Congregate Consortium
• Casey E Cavanagh Gelles, PHD
• Kali Cavanaugh-Smith

• Emergency Medicine Physician in Charlottesville, VA
• Providers in Charlottesville, VA by specialty
• Emergency Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2008; 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.