Dr. Charles Anthony Cavallo, MD
Dr. Charles Anthony Cavallo is a Surgery Physician provider (Surgery) practicing in Springfield, IL, registered in the NPPES registry with NPI 1174733521 since 2007. The credential MD stands for Doctor of Medicine.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1174733521 |
|---|---|
| Entity type | Individual (Type 1) |
| Name | Dr. Charles Anthony Cavallo |
| Credential | MD |
| Sex | Male |
| Practice address | 3132 OLD JACKSONVILLE RD STE 110, Springfield, IL, 62704 |
| Phone | 2175882600 |
| Fax | 2178620904 |
| Enumeration date | 2007-05-23 |
| Last updated in NPPES | 2020-06-24 |
Taxonomy & licenses
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 208600000X | Surgery Physician | Primary | 036041159 | IL |
| 207Q00000X | Family Medicine Physician | Secondary | 258002 | NY |
| 207Q00000X | Family Medicine Physician | Secondary | 036-041159 | IL |
| 207R00000X | Internal Medicine Physician | Secondary | 036041159 | IL |
| 208600000X | Surgery Physician | Secondary | 258002 | NY |
MD — Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential
Copy-ready billing details
Provider: Charles Cavallo, MD NPI: 1174733521 Taxonomy: 208600000X (Surgery Physician) Address: 3132 OLD JACKSONVILLE RD STE 110, Springfield, IL, 62704
Other providers at this practice address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1871553784 | Richard Hutchison | Individual | Physician Assistant | Springfield, IL |
| 1447694104 | Erin Kirkpatrick | Individual | Physician Assistant | Springfield, IL |
| 1154879385 | Chloe Keller | Individual | Physician Assistant | Springfield, IL |
| 1003477787 | Kathryn Viotto | Individual | Family Medicine Physician | Springfield, IL |
| 1710501408 | Anna Dowling | Individual | Physician Assistant | Springfield, IL |
| 1710501150 | Misty Buffenmeyer | Individual | Family Nurse Practitioner | Springfield, IL |
| 1821764929 | Brett Kesselring | Individual | Family Nurse Practitioner | Springfield, IL |
| 1073263711 | Anne Meier | Individual | Family Nurse Practitioner | Springfield, IL |
Verify this record
Cross-check NPI 1174733521 against the authoritative CMS record: view Dr. Charles Anthony Cavallo on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
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Source: CMS NPPES (public data). Snapshot 2026-07-10. Provider record last updated 2020-06-24.