1. Home
  2. Directory
  3. Indiana
  4. South Bend
  5. Student In An Organized Health Care Education Training Program
  6. NPI Profile

CONNOR CAVANAUGH MD
NPI 1265374748
Student in an Organized Health Care Education/Training Program in South Bend, IN

Active since April 06, 2026PECOS Enrolled
714 N MICHIGAN ST, SOUTH BEND, IN 46601(574) 647-7477(574) 647-6819 Get Directions Write a Review

NPPES record last updated: April 6, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Connor Cavanaugh Md NPPES

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

CONNOR CAVANAUGH MD (NPI 1265374748) is an individual student in an organized health care education/training program in South Bend, Indiana and active in the NPI registry since April 2026. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1265374748
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameCONNOR CAVANAUGHCredential: MD
Location Address714 N MICHIGAN STSouth Bend, IN 46601-1035
Mailing Address714 N Michigan StSouth Bend, IN 46601-1035 · (574) 647-7477 · Fax (574) 647-6819
Phone(574) 647-7477
Fax(574) 647-6819
Sole ProprietorNo
Enumeration DateApril 6, 2026
NPPES CertifiedApril 6, 2026
✔ NPI 1265374748 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
714 N MICHIGAN ST, South Bend, IN 46601
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Connor Cavanaugh Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

DR. DAVID HENRY TALARICO MD
Student in an Organized Health Care Education/Training Program
714 N MICHIGAN ST
SOUTH BEND, IN 46601
St. Joseph County (574) 647-7477
ABIGAIL LEIGH REESE DO
Student in an Organized Health Care Education/Training Program
714 N MICHIGAN ST
SOUTH BEND, IN 46601
St. Joseph County (574) 647-7477
DALE ALAN PATTERSON M.D.
Family Medicine
714 N MICHIGAN ST
SOUTH BEND, IN 46601
St. Joseph County (574) 647-7477
MATTHEW T. DUPRE MD
Family Medicine
714 N MICHIGAN ST
SOUTH BEND, IN 46601
St. Joseph County (574) 647-7477
RICHARD J. WARD MD
Family Medicine
714 N MICHIGAN ST
SOUTH BEND, IN 46601
St. Joseph County (574) 647-7477
VICTORIA ANN BAWEL MD
Student in an Organized Health Care Education/Training Program
714 N MICHIGAN ST
SOUTH BEND, IN 46601
St. Joseph County (574) 647-7477
ISAAC D HATTON MD
Family Medicine
714 N MICHIGAN ST
SOUTH BEND, IN 46601
St. Joseph County (574) 647-7913
LAURA LAWRENCE DO
Student in an Organized Health Care Education/Training Program
714 N MICHIGAN ST
SOUTH BEND, IN 46601
St. Joseph County (574) 647-7477

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Connor Cavanaugh's NPI number?

The NPI number for Connor Cavanaugh is 1265374748. It was assigned to this individual provider in the NPPES registry on April 6, 2026.

Where is Connor Cavanaugh located?

Connor Cavanaugh practices at 714 N Michigan St, South Bend, IN 46601. The listed phone number is (574) 647-7477.

What is Connor Cavanaugh's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Connor Cavanaugh enrolled in Medicare?

Yes. Connor Cavanaugh is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Connor Cavanaugh was last updated on April 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.