DR. CHARLES ANTHONY CAVALLO (MD) – Family Medicine Physician, NPI 1174733521

DR. CHARLES ANTHONY CAVALLO (MD) is a healthcare provider. based in Springfield, Illinois. specializing in Family Medicine Physician. They hold the professional credentials MD. They hold a License No. 036041159 (IL). The NPI Number for DR. CHARLES ANTHONY CAVALLO (MD) is 1174733521

Main info

Male
60 Years Of Experience
Accepts Medicare Assignment
Name
DR. CHARLES ANTHONY CAVALLO (MD)
NPI
1174733521
Phone
(800) 577-5368
Address
PO BOX 3428
Enumeration Date
23 May 2007
Last Update Date
24 June 2020

Doctor Profile

Medical School Name
NORTHWESTERN UNIVERSITY FEINBERG MEDICAL SCHOOL
Secondary Phone
2175882600
Graduation Year
1966 (60 years ago)
PAC ID
3577582568
Group Practice PAC ID
9032005681
Professional Enrollment ID
I20051118000571
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience85
Completeness75
Years active:19State licenses:3Digital endpointsOther names

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Provider Addresses for DR. CHARLES ANTHONY CAVALLO (MD)

  • 3428, South Spring Street, Southern View, Sangamon County, Illinois, 62704, United States

    SPRINGFIELD, IL 627083428

    Phone: (800) 577-5368

    Fax: (217) 757-2021

    Type: Mailing

  • Old Jacksonville Road, Springfield, Sangamon County, Illinois, 62704, United States

    SPRINGFIELD, IL 627047401

    Phone: (217) 588-2600

    Fax: (217) 862-0904

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 62708)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9032005681View full group profile
NameSpecialtyState
KATHRYN D VIOTTO (DO)
Family PracticeNJ
MELANIE R REYNOLDS (FNP)
Nurse PractitionerIL
JOE A BILYEU (M.D.)
Family PracticeIL
JUNITTA CYRINE STIEREN
Nurse PractitionerIL
CHRISTINE SHAW
Physician AssistantIL
DR. BENJAMIN E. MONTGOMERY (M.D.)
-IL
DR. STEVEN R BOWERS (M.D.)
-IL
JESSICA LEVORA (PA-C)
Physician AssistantIL
ERIC SPENNER
Physician AssistantIL
MELINDA J DORSEY (NP)
-IL

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Frequently asked questions

What unique ID ties claims to DR. CHARLES ANTHONY CAVALLO (MD)?
NPI 1174733521 is assigned to DR. CHARLES ANTHONY CAVALLO (MD) under the national enumeration system.
Is DR. CHARLES ANTHONY CAVALLO (MD) active in the national directory?
DR. CHARLES ANTHONY CAVALLO (MD)'s public NPI profile is in an active state.
Does DR. CHARLES ANTHONY CAVALLO (MD) list a primary specialty?
If you are matching referrals, note Family Medicine Physician for DR. CHARLES ANTHONY CAVALLO (MD). Clinical services aligned with this taxonomy classification.
Where is DR. CHARLES ANTHONY CAVALLO (MD)'s primary listing?
We display Springfield, Illinois because that is what the record indicates for DR. CHARLES ANTHONY CAVALLO (MD).
What if Springfield, Illinois seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.