JAMES P. CAVANAGH MD
NPI 1376540484
Pediatrics in Port Jefferson, NY
About James P. Cavanagh Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JAMES P. CAVANAGH MD (NPI 1376540484) is an individual pediatrics provider in Port Jefferson, New York, licensed in New York (210488-1) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
James P. Cavanagh Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
3Medicare enrollment records show James Cavanagh reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Port Jefferson, NY 11777
- Reassigned Medicare billing, New York enrollment
- 210 clinicians in this Medicare group
West Sayville, NY 11796
- Reassigned Medicare billing, New York enrollment
- Medicare enrollment name: Chs Physician Partners PC
- 944 clinicians in this Medicare group
Bay Shore, NY 11706
- Reassigned Medicare billing, New York enrollment
- 395 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 11777 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
PORT JEFFERSON, NY 11777
PORT JEFFERSON, NY 11777
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 James Cavanagh's NPI number?
The NPI number for James Cavanagh is 1376540484. It was assigned to this individual provider in the NPPES registry on July 5, 2005.
Where is James Cavanagh located?
James Cavanagh practices at 200 Belle Terre Rd, Port Jefferson, NY 11777. The listed phone number is (631) 474-6205.
What is James Cavanagh's specialty?
The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.
Is James Cavanagh enrolled in Medicare?
Yes. James Cavanagh is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for James Cavanagh's services?
According to the CMS Revalidation Reassignment List (October 2026 release), James Cavanagh reassigns Medicare benefits to 3 organizations: St. Charles Hospital Corp. (Port Jefferson, NY), Chs Physician Partners, P.C (West Sayville, NY) and Good Samaritan Hospital Medical Center (Bay Shore, NY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for James Cavanagh's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for James Cavanagh was last updated on March 31, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# James P. Cavanagh, MD · NPI 1376540484
Pediatrics physician in Port Jefferson, New York. Individual provider, active in the CMS NPPES registry since July 5, 2005.
## Identity
- **NPI:** 1376540484 (Entity type: Individual)
- **Enumerated:** July 5, 2005
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **State license:** 210488-1 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 200 BELLE TERRE RD, Port Jefferson, NY 11777-1928
- **Phone:** (631) 474-6205 · **Fax:** (631) 476-5602
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): St. Charles Hospital Corp. (NPI 1497765630, Port Jefferson, NY); Chs Physician Partners, P.C (NPI 1679823512, West Sayville, NY); Good Samaritan Hospital Medical Center (NPI 1275820961, Bay Shore, NY) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 31, 2011
- **Other identifiers:** Medicaid 01870300 (NY); Medicare UPIN G57077 (NY); Medicare PIN 551901 (NY)
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Source: [NPI Profile](https://npiprofile.com/npi/1376540484) · Data from the CMS NPPES public registry.