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CHARLES PHILLIP CAVALARIS MD
NPI 1740819317
Student in an Organized Health Care Education/Training Program in Tampa, FL

Active since April 06, 2020PECOS Enrolled
17 DAVIS BLVD STE 308, TAMPA, FL 33606(813) 974-2201 Get Directions Write a Review

NPPES record last updated: April 6, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Charles Phillip Cavalaris Md NPPES

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

CHARLES PHILLIP CAVALARIS MD (NPI 1740819317) is an individual student in an organized health care education/training program in Tampa, Florida and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1740819317
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameCHARLES PHILLIP CAVALARISCredential: MD
Location Address17 DAVIS BLVD STE 308Tampa, FL 33606-3438
Mailing Address17 Davis Blvd Ste 308Tampa, FL 33606-3438
Phone(813) 974-2201
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateApril 6, 2020
NPPES CertifiedApril 6, 2020
✔ NPI 1740819317 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.
17 DAVIS BLVD STE 308, Tampa, FL 33606
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Charles Phillip Cavalaris Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4082172382
PECOS Enrollment IDI20260817004407
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.

Medicare Billing Reassignment

Medicare enrollment records show Charles Cavalaris reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

University Medical Service Association Inc
Same address
Pediatrics
17 DAVIS BLVD, 1ST FLOOR
Tampa, FL 33606
  • Reassigned Medicare billing, Florida enrollment
  • 1,079 clinicians in this Medicare group
NPI 1821038761 (813) 259-8700

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

MARISOL GOMEZ MD
Student in an Organized Health Care Education/Training Program
17 DAVIS BLVD STE 308
TAMPA, FL 33606
Hillsborough County (727) 462-7000
DR. SARA KHAN MD
Student in an Organized Health Care Education/Training Program
17 DAVIS BLVD STE 308
TAMPA, FL 33606
Hillsborough County (813) 974-2202
PETER BRANDON DOMINGUEZ MD
Emergency Medicine
17 DAVIS BLVD STE 308
TAMPA, FL 33606
Hillsborough County (813) 844-7000
NICHOLAS BRENNAN WAGNER MD
Student in an Organized Health Care Education/Training Program
17 DAVIS BLVD STE 308
TAMPA, FL 33606
Hillsborough County (813) 974-2201
JACOB ALEXANDER KALIN DO
Student in an Organized Health Care Education/Training Program
17 DAVIS BLVD STE 308
TAMPA, FL 33606
Hillsborough County (813) 844-7000
MICHAEL BRANDON CISNEROS MD
Student in an Organized Health Care Education/Training Program
17 DAVIS BLVD STE 308
TAMPA, FL 33606
Hillsborough County (813) 974-2201
DR. SANTIAGO BEJARANO HERNANDEZ MD, MPH
Student in an Organized Health Care Education/Training Program
17 DAVIS BLVD STE 308
TAMPA, FL 33606
Hillsborough County (813) 844-7000
LIDIA ODALIS LOPEZ
Student in an Organized Health Care Education/Training Program
17 DAVIS BLVD STE 308
TAMPA, FL 33606
Hillsborough County (813) 974-2201

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 Charles Cavalaris's NPI number?

The NPI number for Charles Cavalaris is 1740819317. It was assigned to this individual provider in the NPPES registry on April 6, 2020.

Where is Charles Cavalaris located?

Charles Cavalaris practices at 17 Davis Blvd Ste 308, Tampa, FL 33606. The listed phone number is (813) 974-2201.

What is Charles Cavalaris's specialty?

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

Is Charles Cavalaris enrolled in Medicare?

Yes. Charles Cavalaris is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Charles Cavalaris's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Charles Cavalaris reassigns Medicare benefits to University Medical Service Association Inc (Tampa, FL). The 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 Charles Cavalaris's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Charles Cavalaris accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, AvMed and Florida Blue (BlueCross BlueShield FL) and 3 other insurers list Charles Cavalaris as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Charles Cavalaris was last updated on April 6, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.