Individual provider Active NPI

Clinton Peter Cavuoti Jr., M.D.

  • Internal Medicine Physician
  • Abilene, TX
National Provider Identifier
1952390809
Registry record updated Feb 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
F3821 Issued in TX
Practice address
1150 N 18TH St
Suite 300
Abilene, TX 79601-2948
Phone
(325) 670-6458
Fax
(365) 670-6498
NPI assigned
Oct 13, 2005
Last updated
Feb 27, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X F3821 TX Primary

Addresses

Primary practice location

1150 N 18TH St
Suite 300
Abilene, TX 79601-2948

Mailing address

PO Box 5409
Abilene, TX 79608-5409
Phone (325) 670-6458

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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 1

Enrollment IDStateProvider typePAC IDDetails
I20060119000736 TX Practitioner - Internal Medicine 2961426788 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Texas Southwestern Medical School at Dallas, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Quantum Emergency Physicians PAGroup PAC ID 1153414503, 79 clinicians

Practice addresses (Care Compare)

1900 Pine St
Abilene, TX 79601-2432
Phone (325) 670-2000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F3821TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Quantum Emergency Physicians PA Internal Medicine CurrentSince Mar 1, 2017 Accepting new patients
Hendrick Medical Center CurrentSince Apr 1, 2016 Accepting new patients
Hendrick Medical Center Internal Medicine CurrentSince Apr 1, 2016 Accepting new patients
Privia Medical Group West Texas, PLLC Past Accepting new patients

Locations

1150 N 18th St
Ste 300
Abilene, TX 79601
Phone (325) 670-2255

1900 Pine St
Abilene, TX 79601
Phone (325) 670-4220

1900 Pine St
Fl 7
Abilene, TX 79601
Phone (325) 670-6251

Organizations & group practices 5

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1129161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204070400000",
    "number": "1952390809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5409",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796085409",
            "telephone_number": "325-670-6458",
            "fax_number": "325-670-6498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 N 18TH ST",
            "address_2": "SUITE 300",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796012948",
            "telephone_number": "325-670-6458",
            "fax_number": "365-670-6498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAVUOTI",
        "first_name": "CLINTON",
        "middle_name": "PETER",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-13",
        "last_updated": "2008-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "F3821",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Abilene, TX

Sources for this page

Verify at the official NPI Registry.