ALEXIS CAVANAUGH M.D. – NPI #1437457876
Pediatrics

A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs.

ALEXIS CAVANAUGH is a physician located in EVANSTON, IL. NPPES has assigned the NPI number 1437457876 to ALEXIS CAVANAUGH on March 09, 2011. It is a Type-1 NPI, indicating this NPI number is associated with an individual. She is also known by her former name ALEXIS ALTAGRACIA RODRIGUEZ. The primary taxonomy selected by this provider is 2080P0206X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics, specializing in Pediatric Gastroenterology

The NPI profile was previously updated about 3 years ago on Jul 25, 2023. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ALEXIS CAVANAUGH below.

NPI Profile for
ALEXIS CAVANAUGH

NPI Number
1437457876
Enumeration Date

(more than 15 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
ALEXIS CAVANAUGH
Former Name: ALEXIS ALTAGRACIA RODRIGUEZ
Credentials
M.D.
Primary location
1000 CENTRAL ST STE 800
EVANSTON, IL 60201-1780
Phone: (847) 570-1795 Fax:
1 Other location(s):
4440 W 95th St
Oak Lawn, IL 60453-2600
Phone: (708) 684-5338
Mailing address
4440 W 95TH ST
OAK LAWN, IL 60453-2600
Phone: Fax:
Sole Proprietor
Yes
Updated
Certification Date
Jul 25, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2080P0206X
- Pediatrics / Pediatric Gastroenterology (Primary)
IL 036138011

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices

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