MS. INGRID MARION CAVANAUGH PA-C
NPI 1023209483
Physician Assistant - Medical in San Antonio, TX

Q: What is Ingrid Cavanaugh's NPI number?

The NPI number for Ingrid Cavanaugh is 1023209483. It was assigned to this individual provider in the NPPES registry on August 9, 2007.

Q: What is Ingrid Cavanaugh's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Ingrid Cavanaugh was last updated on September 13, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 09, 2007PECOS EnrolledAccepts Medicare Assignment

4502 MEDICAL DR, DEPARTMENT OF EMERGENCY CENTER, SAN ANTONIO, TX 78229(210) 358-4000 Get Directions Write a Review

NPPES record last updated: September 13, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 13, 2017, Mar 21, 2017 (2 updates tracked since 2017).

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About Ms. Ingrid Marion Cavanaugh Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. INGRID MARION CAVANAUGH PA-C (NPI 1023209483) is an individual medical provider in San Antonio, Texas, licensed in Texas (PA05631) and active in the NPI registry since August 2007. She is enrolled in Medicare PECOS, is affiliated with University Health System, and is a graduate of Other (2001).

NPPES Registry Identity

NPI1023209483

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameMS. INGRID MARION CAVANAUGHCredential: PA-C

Location Address4502 MEDICAL DR, DEPARTMENT OF EMERGENCY CENTERSan Antonio, TX 78229-4402

Mailing Address7703 Floyd Curl DrSan Antonio, TX 78229-3901 · (210) 358-2078

Phone(210) 358-4000

Sole ProprietorNo

Medical School CMSOtherGraduated 2001

Enumeration DateAugust 9, 2007

Last NPPES UpdateSeptember 13, 20172 updates tracked since enumeration

✔ NPI 1023209483 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

Licenses✔ Licensed in TX · PA05631✔ Licensed in FL · PA-9102714

4502 MEDICAL DR, San Antonio, TX 78229

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Other Identifiers 3

Medicaid200315403TX

Medicare PIN8L11191TX

Other200315404TX · Cshcn

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Imperial Insurance Companies, Inc., Molina Healthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ms. Ingrid Marion Cavanaugh Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8224044052

PECOS Enrollment IDI20080919000245

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

17 services14 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

University Health System

Acute Care Hospitals · San Antonio, TX

3/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number450213

Location4502 Medical DrSan Antonio, TX 78229 · Bexar County

Emergency services Birthing friendly

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

EDUARDO N. POLLONO MD

Internal Medicine (Cardiovascular Disease)