Individual provider Active NPI

Jeffrey P Cahill, M.D.

  • Family Medicine Physician
  • Henderson, TX
National Provider Identifier
1962483974
Registry record updated Aug 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
E9047 Issued in TX
Practice address
325 Wilson St
Henderson, TX 75652-5957
Phone
(903) 657-8587
Fax
(903) 657-9545
NPI assigned
Nov 7, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X E9047 TX Primary

Addresses

Primary practice location

325 Wilson St
Henderson, TX 75652-5957

Mailing address

325 Wilson St
Henderson, TX 75652-5957
Phone (903) 657-8587

Other identifiers 1

IdentifierTypeStateIssuer
126397202MedicaidTX

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
I20080129000152 TX Practitioner - Family Practice 7113009218 Practice locations: Henderson, TX

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Maryland School of Medicine, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

325 Wilson
Henderson, TX 75652-5957
Phone (903) 657-8587

325 Wilson St
Henderson, TX 75652-5957

Hospital & facility affiliations

  • Christus Good Shepherd Home health agency, Longview, TX, CCN 457691
  • Ut Health East Texas Henderson Hospital Hospital, Henderson, TX, CCN 450475

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Henderson Hospital, LLC Past Accepting new patients
Advanced Practice Pain Management and Anesthesia Consulting PLLC PastSince May 16, 2022 Accepting new patients

Organizations & group practices 2

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.

Hospital & facility affiliations 2

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": "1131321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282694400000",
    "number": "1962483974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 WILSON ST",
            "city": "HENDERSON",
            "state": "TX",
            "postal_code": "756525957",
            "telephone_number": "903-657-8587",
            "fax_number": "903-657-9545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 WILSON ST",
            "city": "HENDERSON",
            "state": "TX",
            "postal_code": "756525957",
            "telephone_number": "903-657-8587",
            "fax_number": "903-657-9545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAHILL",
        "first_name": "JEFFREY",
        "middle_name": "P",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-07",
        "last_updated": "2010-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "E9047",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "126397202",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, TX

Sources for this page

Verify at the official NPI Registry.