Individual provider Active NPI

Marcos Jose Caboverde, PA-C

  • Physician Assistant
  • Pembroke Pines, FL
National Provider Identifier
1073297867
Registry record updated Jun 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
18501 Pines Blvd Ste 210
Pembroke Pines, FL 33029-1420
Phone
(954) 237-2505
Fax
(954) 237-2510
NPI assigned
Jun 12, 2023
Last updated
Jun 28, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X NU Primary

Addresses

Primary practice location

18501 Pines Blvd Ste 210
Pembroke Pines, FL 33029-1420

Mailing address

15280 NW 79TH CT
Miami Lakes, FL 33016-5789
Phone (305) 558-3724

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address marcoscaboverde@sfa.allscriptsdirect.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250213000606 VA Practitioner - Physician Assistant 3274991294 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chesapeake Bay ENT PCGroup PAC ID 4486715018, 9 clinicians

Practice addresses (Care Compare)

1 Columbus Ctr
Suite 500
Virginia Beach, VA 23462-6784
Phone (757) 942-5466

130 W York St
Norfolk, VA 23510-2007
Phone (757) 935-1400

3235 Academy Ave
Suite 100
Portsmouth, VA 23703-3200
Phone (757) 964-0800

36080 Lankford Hwy
Belle Haven, VA 23306-1100
Phone (757) 442-7040

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
70.4 of 100Reported as group
Quality
47.82
Promoting interoperability
97
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Organizations & group practices 1

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

Hospital & facility affiliations 3

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": "1686528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687910400000",
    "number": "1073297867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15280 NW 79TH CT",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330165789",
            "telephone_number": "305-558-3724",
            "fax_number": "786-907-4485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18501 PINES BLVD STE 210",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330291420",
            "telephone_number": "954-237-2505",
            "fax_number": "954-237-2510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CABOVERDE",
        "first_name": "MARCOS",
        "middle_name": "JOSE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-06-12",
        "last_updated": "2023-06-28",
        "certification_date": "2023-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "marcoscaboverde@sfa.allscriptsdirect.net",
            "affiliation": "N",
            "endpointDescription": "marcoscaboverde@sfa.allscriptsdirect.net",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "18501 Pines Blvd Ste 210",
            "city": "Pembroke Pines",
            "state": "FL",
            "country_code": "US",
            "postal_code": "330291420",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pembroke Pines, FL

Sources for this page

Verify at the official NPI Registry.