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MICHAEL H CACCAVALE MD NPI 1518164425


NPI Information

NPI: 1518164425
Provider Name: MICHAEL H CACCAVALE, MD
Classification: Radiology - 2085R0204X
Entity Type: Individual

Specialization: Vascular & Interventional Radiology

Organization: REDWOOD RADIOLOGY GROUP INC

PECOS Registration: Yes

Address:
121 SOTOYOME ST
SANTA ROSA, CA
ZIP 95405
Phone: (707) 546-4062
Get Directions

Michael H Caccavale, MD is a vascular and interventional radiology radiology in Santa Rosa, CA with 18 years of experience. The provider is a radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. Michael H Caccavale, MD NPI is 1518164425. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF ARIZONA COLLEGE OF MEDICINE
Graduation Year:2006

The provider's business location address is:

121 SOTOYOME ST
SANTA ROSA, CA
ZIP 95405-823
Phone: (707) 546-4062
Fax: (707) 525-4095

The NPI 1518164425 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Fluoroscopic guidance for insertion, replacement or removal of central venous access device (HCPCS:77001)
  • Ultrasound guidance for accessing into blood vessel (HCPCS:76937)
  • Radiological supervision and interpretation of CT guidance for needle insertion (HCPCS:77012)
  • Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older (HCPCS:36561)
  • Ultrasound study of arteries and arterial grafts of both legs (HCPCS:93925)
  • Ultrasonic guidance imaging supervision and interpretation for insertion of needle (HCPCS:76942)
  • Ultrasound study of arteries and arterial grafts of one leg or limited (HCPCS:93926)
  • Ultrasound study of arteries of both arms and legs (HCPCS:93922)

The enumeration date for this NPI number is 7/3/2007 and was last updated on 5/19/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12085R0202XRadiologyDiagnostic Radiology49942MINNESOTANo
22085R0202XRadiologyDiagnostic RadiologyA121222CALIFORNIANo
32085R0204XRadiologyVascular & Interventional RadiologyA121222CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1300004263MEDICARE PINMINNESOTA
2CA115817MEDICARE PINCALIFORNIA
3300006015MEDICARE PINMINNESOTA
4572447100MEDICAIDMINNESOTA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.