Individual provider Active NPI

Jose Antonio Cobiella, M.D. PA

  • Internal Medicine Physician
  • Homestead, FL
National Provider Identifier
1023228988
Registry record updated Mar 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME 101162 Issued in FL
Practice address
950 N Krome Ave Ste 203
Homestead, FL 33030-4455
Phone
(305) 242-0911
Fax
(305) 242-0912
NPI assigned
May 22, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 8, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X BP10021621 TX
Internal Medicine Physician 207R00000X ME 101162 FL Primary

Addresses

Primary practice location

950 N Krome Ave Ste 203
Homestead, FL 33030-4455

Mailing address

8240 SW 36TH St
Miami, FL 33155-3327
Phone (305) 542-9024

Other identifiers 2

IdentifierTypeStateIssuer
000366301MedicaidFL
000366300MedicaidFL

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
I20081124000537 FL Practitioner - Internal Medicine 5890855662 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

950 N Krome Ave
Suite 203
Homestead, FL 33030-4455
Phone (305) 242-0911

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME 101162FLMDInternal Medicine Physician
BP10021621TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jose a Cobiella MD PA Internal Medicine CurrentSince Nov 1, 2011 Accepting new patients
Mercedes J Vazquez MD PA Internal Medicine CurrentSince Feb 28, 2012 Accepting new patients
Vega Health Center Inc Internal Medicine PastSince May 8, 2022 Accepting new patients

Locations

950 N Krome Ave
Ste 203
Homestead, FL 33030
Phone (305) 242-0911

975 Baptist Way
Homestead, FL 33033
Phone (786) 243-8000

Interoperability endpoints

  • Direct secure messaging: joseacobiellamd.josecobiella@126936.advancedmd-direct.com

Organizations & group practices 3

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331164800000",
    "number": "1023228988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8240 SW 36TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331553327",
            "telephone_number": "305-542-9024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 N KROME AVE STE 203",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330304455",
            "telephone_number": "305-242-0911",
            "fax_number": "305-242-0912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COBIELLA",
        "first_name": "JOSE",
        "middle_name": "ANTONIO",
        "credential": "M.D. PA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-22",
        "last_updated": "2012-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "BP10021621",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME 101162",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000366301",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000366300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Homestead, FL

Sources for this page

Verify at the official NPI Registry.