DR. RICKY SAM CAVALLARO FAMILY CHIROPRACTOR PLLC
NPI 1972259653
Chiropractor in Syracuse, NY

Active since February 22, 2022
100 OSCEOLA RD, SYRACUSE, NY 13209(315) 487-5200 Get Directions Write a Review

NPPES record last updated: February 22, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Ricky Sam Cavallaro Family Chiropractor Pllc NPPES

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

DR. RICKY SAM CAVALLARO FAMILY CHIROPRACTOR PLLC (NPI 1972259653), doing business as Cavallaro Family Chiropractic, is a healthcare organization registered as a chiropractor in Syracuse, New York and active in the NPI registry since February 2022. The organization lists Ricky Sam Cavallaro, President, as its authorized official.

NPPES Registry Identity

NPI1972259653
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameDR. RICKY SAM CAVALLARO FAMILY CHIROPRACTOR PLLC
Location Address100 OSCEOLA RDSyracuse, NY 13209-1242
Mailing Address100 Osceola RdSyracuse, NY 13209-1242 · (315) 487-5200
Organization SubpartNo
Authorized OfficialRicky Sam CavallaroPresident · (315) 487-5200
Enumeration DateFebruary 22, 2022
NPPES CertifiedFebruary 8, 2022
✔ NPI 1972259653 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
100 OSCEOLA RD, Syracuse, NY 13209

Other Names 1

Doing Business AsCavallaro Family Chiropractic

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Ricky Sam Cavallaro Family Chiropractor Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by March 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateNew YorkEnrollment IDO20220308002035Non-DME Part B · Clinic/Group PracticeDue dateMarch 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Dr. Ricky Sam Cavallaro Family Chiropractor PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Chiropractic
NPI 1295809671
100 OSCEOLA PL
Syracuse, NY 13209
(315) 487-5200
Same address

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

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 Dr. Ricky Sam Cavallaro Family Chiropractor PLLC's NPI number?

The NPI number for Dr. Ricky Sam Cavallaro Family Chiropractor PLLC is 1972259653. It was assigned to this organization in the NPPES registry on February 22, 2022. The provider is doing business as Cavallaro Family Chiropractic.

Where is Dr. Ricky Sam Cavallaro Family Chiropractor PLLC located?

Dr. Ricky Sam Cavallaro Family Chiropractor PLLC is located at 100 Osceola Rd, Syracuse, NY 13209. The listed phone number is (315) 487-5200.

What is Dr. Ricky Sam Cavallaro Family Chiropractor PLLC's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Dr. Ricky Sam Cavallaro Family Chiropractor PLLC enrolled in Medicare?

Yes. Dr. Ricky Sam Cavallaro Family Chiropractor PLLC is registered in the Medicare PECOS enrollment system.

When is Dr. Ricky Sam Cavallaro Family Chiropractor PLLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (New York, Clinic/Group Practice) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Dr. Ricky Sam Cavallaro Family Chiropractor PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Dr. Ricky Sam Cavallaro Family Chiropractor PLLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Dr. Ricky Sam Cavallaro Family Chiropractor PLLC was last updated on February 22, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.