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JOSEPH ANTHONY KAVANAGH DO
NPI 1992408785
General Practice in Indianapolis, IN

Active since March 22, 2023PECOS EnrolledAccepts Medicare Assignment
1120 W MICHIGAN ST, INDIANAPOLIS, IN 46202(317) 274-0267 Get Directions Write a Review

NPPES record last updated: June 24, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 24, 2025, Jun 28, 2024, Mar 31, 2023 and 1 more (4 updates tracked since 2023).

About Joseph Anthony Kavanagh Do NPPES

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

JOSEPH ANTHONY KAVANAGH DO (NPI 1992408785) is an individual general practice provider in Indianapolis, Indiana, licensed in Indiana (02007919A) and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS and is a graduate of Lake Erie College Of Osteopathic Medicine, Erie (2023).

NPPES Registry Identity

NPI1992408785
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameJOSEPH ANTHONY KAVANAGHCredential: DO
Location Address1120 W MICHIGAN STIndianapolis, IN 46202-5209
Mailing Address1120 W Michigan StIndianapolis, IN 46202-5209 · (317) 274-0267
Phone(317) 274-0267
Sole ProprietorNo
Medical School CMSLake Erie College Of Osteopathic Medicine, ErieGraduated 2023
Enumeration DateMarch 22, 2023
Last NPPES UpdateJune 24, 20254 updates tracked since enumeration
NPPES CertifiedJune 24, 2025
✔ NPI 1992408785 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in IN · 02007919A
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Also ListedAnesthesiologyTaxonomy 207L00000X · License 02007919A (IN)
1120 W MICHIGAN ST, Indianapolis, IN 46202
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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

Joseph Anthony Kavanagh Do 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 ID2769849793
PECOS Enrollment IDI20240708002488
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.

GRETCHEN SUAREZ
Hospitalist
1120 W MICHIGAN ST
INDIANAPOLIS, IN 46202
Marion County (317) 278-0042
BRITTANY AMBER BAKER DO
Student in an Organized Health Care Education/Training Program
1120 W MICHIGAN ST
INDIANAPOLIS, IN 46202
Marion County (317) 278-2686
NATHANIEL BLUCKER MD
Student in an Organized Health Care Education/Training Program
1120 W MICHIGAN ST
INDIANAPOLIS, IN 46202
Marion County (317) 278-2694
AROOJ IMTIAZ AHMAD MD
Psychiatry & Neurology (Neurology)
1120 W MICHIGAN ST
INDIANAPOLIS, IN 46202
Marion County (317) 278-2686
WESTON HE
Student in an Organized Health Care Education/Training Program
1120 W MICHIGAN ST
INDIANAPOLIS, IN 46202
Marion County (317) 278-2686
DR. VICTORIA ANN JACUK DO
Internal Medicine
1120 W MICHIGAN ST
INDIANAPOLIS, IN 46202
Marion County (317) 274-7724
GRANT STELLINI
Student in an Organized Health Care Education/Training Program
1120 W MICHIGAN ST
INDIANAPOLIS, IN 46202
Marion County (317) 278-2689
ANNIKA KATRIN OIE
Student in an Organized Health Care Education/Training Program
1120 W MICHIGAN ST
INDIANAPOLIS, IN 46202
Marion County (317) 278-2694

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 Joseph Kavanagh's NPI number?

The NPI number for Joseph Kavanagh is 1992408785. It was assigned to this individual provider in the NPPES registry on March 22, 2023.

Where is Joseph Kavanagh located?

Joseph Kavanagh practices at 1120 W Michigan St, Indianapolis, IN 46202. The listed phone number is (317) 274-0267.

What is Joseph Kavanagh's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Joseph Kavanagh enrolled in Medicare?

Yes. Joseph Kavanagh is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Joseph Kavanagh was last updated on June 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.