Active NPI
Jeffrey P Cahill, M.D.
- Family Medicine Physician
- Henderson, TX
National Provider Identifier
1962483974
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- E9047
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 126397202 | Medicaid | TX |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Ut Health East Texas Henderson Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Henderson Hospital, LLC | Past | Accepting new patients | |
| Advanced Practice Pain Management and Anesthesia Consulting PLLC | Past | 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.
-
- Certified Registered Nurse Anesthetist
- Henderson, TX
- NPI 1790308500
-
- General Acute Care Hospital
- Henderson, TX
- NPI 1326546797
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Longview, TX
- NPI 1023128220
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2010; 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.