DR. UTHMAN CAVALLO M.D. NPI 1528013372

NPI Information

  • NPI: 1528013372
  • Provider Name: DR. UTHMAN CAVALLO, M.D.
  • Classification: Obstetrics & Gynecology - 207V00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • CLIA Number: 15D2020778
  • Address: 53800 GENERATIONS DR
    SOUTH BEND, IN
    ZIP 46635
  • Phone: (574) 273-3880

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NPI Details

DR. Uthman Cavallo, M.D. is an obstetrics gynecology in South Bend, IN. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. DR. Uthman Cavallo, M.D. NPI is 1528013372. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

53800 GENERATIONS DR
SOUTH BEND, IN
ZIP 46635
Phone: (574) 273-3880
Fax: (571) 271-0918

The NPI 1528013372 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 CLIA number assigned to this NPI record is 15D2020778 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 5/23/2006 and was last updated on 6/20/2018.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialist01054192AINDIANANo
2207V00000XObstetrics & Gynecology01054192AINDIANAYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1200354000AMEDICAIDINDIANA
2000000760931OTHERINDIANABCBS
3000000742843OTHERBCBS

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: 3/30/2025

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