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Deactivated NPI 1710076328 Deactivated / Inactive NPI Male Practitioner

Dr. James K Kavanagh , MD

Anesthesiology • Waco, TX

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. James Kavanagh has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date October 12, 2006
NPI Deactivation Date February 06, 2025
Total Practice Duration ~19 Years of Practice (2006 – 2025)

Professional Overview & Biography Verified Profile Summary

Dr. James Kavanagh, MD was a registered Anesthesiology practicing in Waco, TX. Throughout an active medical career spanning 19 years, Dr. Kavanagh provided care at the practice location at 405 LONDONDERRY DR until profile deactivation on 2025-02-06.

Historical Medicare Part B clinical services included anesthesia for lens surgery, anesthesia for procedure on gastrointestinal tract using an endoscope, anesthesia for procedure on lower intestine using an endoscope. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

405 Londonderry Dr
Suite 105

Waco, TX 767127924

Telephone 2547760266
Fax 2547762511
Associated Practice Facility / Clinic
🏢 Nelson D Destaffany Md Pa Facility NPI 1679561989

Specialty Benchmarks & Practice Insights

Comparative analytics for Anesthesiology in Waco, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 23.6 Yrs
State Avg: 24.9 Yrs
Regional Practice Density
35 Specialists

Practicing in Waco, TX (4818 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
80.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2017)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
00142 Anesthesia for lens surgery
149 141 $684.56 $126.54
00740 Anesthesia for procedure on gastrointestinal tract using an endoscope
59 58 $710.17 $131.94
00810 Anesthesia for procedure on lower intestine using an endoscope
41 41 $795.12 $150.03
00400 Anesthesia for procedure on skin of arms, legs, or trunk
11 11 $690.91 $121.54
00670 Anesthesia for procedure on spine and spinal cord
11 11 $2609.09 $514.99
00790 Anesthesia for procedure in upper abdomen including use of an endoscope
11 11 $1490.91 $295.05

Medical Specialties & State Licenses

Anesthesiology Primary Specialty

NUCC Taxonomy Code: 207L00000X

State License TX G9284

An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

26 Associated Practitioners
Dr. Kyle Sulak , DO

Anesthesiology

NPI 1104244201

Doctor of Osteopathic Medicine (D.O.)

Dr. Holly Davis , MD

Anesthesiology

NPI 1225127749

Doctor of Medicine (M.D.)

NPI 1225127871

Doctor of Medicine (M.D.)

NPI 1235228784

Doctor of Medicine (M.D.)

NPI 1285723882

Doctor of Medicine (M.D.)

NPI 1336238997

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated February 06, 2025

Record deactivated on February 06, 2025

NPI Profile Active September 25, 2008

NPI status registered as active in NPPES database

📍
Updated Practice Location September 25, 2008

Registered at 405 LONDONDERRY DR, SUITE 105, WACO, TX 767127924 (Tel: 2547760266)

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Updated Business Mailing Address September 25, 2008

Registered at PO BOX 224137, DALLAS, TX 752224137 (Tel: 2547760266)

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Provider Name / Credentials Updated September 25, 2008

Recorded as JAMES KAVANAGH, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) September 25, 2008

Anesthesiology (License #G9284 in TX)

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Initial NPI Registration & Enumeration October 12, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1710076328
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 12, 2006
Last Update: September 25, 2008
Deactivation Date: February 06, 2025

Mailing Address

Po Box 224137

Dallas, TX 752224137

Phone: 2547760266

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.