Individual provider Active NPI

Jennine M. Cabanellas, MD

  • Ophthalmology Physician
  • Wellington, FL
National Provider Identifier
1003004540
Registry record updated Jun 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
ME83781 Issued in FL
Practice address
12777 Forest Hill Blvd,
Suite 1502
Wellington, FL 33414
Phone
(561) 333-3440
Fax
(855) 309-7252
NPI assigned
Oct 10, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 28, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X ME83781 FL
Ophthalmology Physician 207W00000X ME83781 FL Primary

Addresses

Primary practice location

12777 Forest Hill Blvd,
Suite 1502
Wellington, FL 33414

Mailing address

12777 Forest Hill Blvd,
Suite 1502
Wellington, FL 33414
Phone (561) 333-3440

Other practice location 1

1097 S Lejeune Rd
Coral Gables, FL 33134
Phone (305) 442-2020

Other identifiers 1

IdentifierTypeStateIssuer
121524700MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041018000934 FL Practitioner - Ophthalmology 7416917000 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Washington University School of Medicine, 1995
Medicare assignment
May accept Medicare assignment
Group practices
Deval D Joshi MD PLLCGroup PAC ID 5991091670, 3 clinicians
Aran Eye Associates PAGroup PAC ID 4486615770, 32 clinicians
South Florida Vision Associates LLCGroup PAC ID 7810119674, 7 clinicians
Glaucoma Specialists of South Florida PAGroup PAC ID 9830378918, 5 clinicians

Practice addresses (Care Compare)

10075 S Jog Rd
Suite 203
Boynton Beach, FL 33437-3536
Phone (561) 767-9999

1097 SW Lejuene Rd
Coral Gables, FL 33134-2639
Phone 3054422020147

2900 W Cypress Creek Rd
Ft Lauderdale, FL 33309-1715
Phone (786) 343-5975

6298 Linton Blvd
Suite 102
Delray Beach, FL 33484-6444
Phone (561) 479-3884

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME83781FLMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Deval D Joshi MD PLLC Specialist CurrentSince Jun 1, 2025 Accepting new patients
Stanley D Braverman MD LLC Ophthalmology CurrentSince May 19, 2024 Accepting new patients
Aran Eye Associates PA Specialist CurrentSince May 19, 2024 Accepting new patients
Aran Eye Associates PA Specialist CurrentSince May 19, 2024 Accepting new patients
South Florida Vision Associates, LLC Ophthalmology CurrentSince May 1, 2019 Accepting new patients
Michael L. Levine MD PA Specialist CurrentSince Jan 1, 2023 Accepting new patients
Aran Eye Associates PA Specialist Past Accepting new patients
Aran Eye Associates PA Specialist PastSince May 26, 2024 Accepting new patients
South Florida Eye Associates, PA Ophthalmology Past Accepting new patients
South Florida Eye Associates, PA Ophthalmology Past Accepting new patients

Locations

3280 Old Boynton Rd
Boynton Beach, FL 33436
Phone (561) 733-3010

10075 S Jog Rd
Ste 203
Boynton Beach, FL 33437
Phone (561) 530-8744

2540 NE 9th St
Ft Lauderdale, FL 33304
Phone (954) 537-4000

2900 W Cypress Creek Rd
Ste 4
Ft Lauderdale, FL 33309
Phone (954) 676-8446

2900 W Cypress Creek Rd
Ste 1
Ft Lauderdale, FL 33309
Phone (954) 977-0192

1050 N Federal Hwy
Hollywood, FL 33020
Phone (954) 458-2112

21150 Biscayne Blvd
Ste 202
Miami, FL 33180
Phone (305) 682-9600

1097 S Le Jeune Rd
Miami, FL 33134
Phone (305) 442-2021

8700 W Flagler St
Ste 403
Miami, FL 33174

7600 Corporate Center Dr
Miami, FL 33126

14201 W Sunrise Blvd
#101101
Sunrise, FL 33323
Phone (954) 838-1382

Networks

  • devoted network organization-84bf27aa-506a-49c4-8818-702cf5e8efb3
  • devoted network organization-0f7f8d4f-1035-4992-8c02-dc86d12e700e
  • FL HMO
  • FL HMO C-SNP
  • FL PPO
  • FL HMO D-SNP

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: jennine.cabanellasmd.p1@direct.araneyeassociates.nextgenshare.com
  • Direct secure messaging: jennine.cabanellasmd.p6@direct.araneyeassociates.nextgenshare.com

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1191974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719532800000",
    "number": "1003004540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12777 FOREST HILL BLVD,",
            "address_2": "SUITE 1502",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "33414",
            "telephone_number": "561-333-3440",
            "fax_number": "855-309-7252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12777 FOREST HILL BLVD,",
            "address_2": "SUITE 1502",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "33414",
            "telephone_number": "561-333-3440",
            "fax_number": "855-309-7252"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1097 S LEJEUNE RD",
            "address_purpose": "LOCATION",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "33134",
            "country_code": "US",
            "telephone_number": "305-442-2020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CABANELLAS",
        "first_name": "JENNINE",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-10",
        "last_updated": "2024-06-28",
        "certification_date": "2024-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME83781",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME83781",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "121524700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wellington, FL

Sources for this page

Verify at the official NPI Registry.