Michelle L Cavo, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

000862 Issued in CT

Practice address

125 Lasalle Rd
Suite 208
West Hartford, CT 06107-2322

Phone

(860) 906-1289

Fax

(860) 906-1269

NPI assigned

Dec 14, 2006

Last updated

Aug 19, 2013By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Pounds Medical Weight Loss Transformation PCGroup PAC ID 5991930661, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/25497/brand/1/csg/1/fhir/r4
• Direct secure messaging: mcavo@poundsmwlt.providersdirect.com
• Direct secure messaging: michelle.cavo.1@25497.direct.athenahealth.com

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.

• Pounds Medical Weight Loss Transformation PC

  • Obesity Medicine (Obstetrics & Gynecology) Physician
  • West Hartford, CT
  • NPI 1306283718
  Medicare reassignment Care Compare group
• Pounds, Medical Weight Loss Transformation, PC

  • Obesity Medicine (Obstetrics & Gynecology) Physician
  • West Hartford, CT
  • NPI 1548676877
  NPD Authorized official

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376870400000",
    "number": "1942362082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 LASALLE RD",
            "address_2": "SUITE 208",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061072322",
            "telephone_number": "860-906-1289",
            "fax_number": "860-906-1269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 LASALLE RD",
            "address_2": "SUITE 208",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061072322",
            "telephone_number": "860-906-1289",
            "fax_number": "860-906-1269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAVO",
        "first_name": "MICHELLE",
        "middle_name": "L",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-14",
        "last_updated": "2013-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CT",
            "license": "000862",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diana Laura Castellanos, PA
• Theresa Marie Castillejo
• Aliza Castro
• Jaclyn Kupper Cattanach, DMD
• Deborah Cavanaugh, MS, LPC
• Joseph Santo Cellini
• Center for Dental Excellence, LLC
• Central Conn Endodontics, PC
• Central Ctonnecticut Oral Maxillofacial& Implant Surgery, PC
• Central Eye Care, LLC

• Physician Assistant in West Hartford, CT
• Providers in West Hartford, CT by specialty
• Physician Assistant in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2013; 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.

Verify at the official NPI Registry.