Jasen S Kobobel, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ME86649 Issued in FL

Practice address

1950 Rockledge Blvd Ste 101
Rockledge, FL 32955-2728

Phone

(321) 636-0005

Fax

(321) 636-9030

NPI assigned

Jun 1, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Dr. Jasen S Kobobel Professional name

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

Specialty

Family Practice

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ability Health Services, IncGroup PAC ID 4082523329, 1,249 clinicians

Ability Health Services and Rehabilitation LPGroup PAC ID 4981986288, shared by 2 NPIs, 1,260 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Health First Home Care Home health agency, Melbourne, FL, CCN 107233
• Cape Canaveral Hospital Hospital, Cocoa Beach, FL, CCN 100177
• Parrish Medical Center Hospital, Titusville, FL, CCN 100028

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Brevard Family Walk in Clinic LLC

  • Family Medicine Physician
  • Rockledge, FL
  • NPI 1134146046
  Medicare reassignment NPD Authorized official
• Brevard Family Walk in Clinic LLC

  • Non-Pharmacy Dispensing Site
  • Merritt Island, FL
  • NPI 1881008696
  NPD (past)
• Brevard Family Walk in Clinic Rockledge

  • Non-Pharmacy Dispensing Site
  • Rockledge, FL
  • NPI 1265846943
  NPD (past)

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

• Cape Canaveral Hospital, Inc.

  • General Acute Care Hospital
  • Cocoa Beach, FL
  • NPI 1184691610
  Care Compare affiliation
• Cape Canaveral Hospital, Inc.

  • Home Health Agency
  • Melbourne, FL
  • NPI 1922006956
  Care Compare affiliation
• North Brevard County Hospital District

  • General Acute Care Hospital
  • Titusville, FL
  • NPI 1053424648
  Care Compare affiliation

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

{
    "created_epoch": "1149120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354665600000",
    "number": "1073550950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 ROCKLEDGE BLVD STE 101",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329553763",
            "telephone_number": "321-636-0005",
            "fax_number": "321-636-9030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1950 ROCKLEDGE BLVD STE 101",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329552728",
            "telephone_number": "321-636-0005",
            "fax_number": "321-636-9030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOBOBEL",
        "first_name": "JASEN",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-01",
        "last_updated": "2012-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME86649",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "266689800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JASEN",
            "last_name": "KOBOBEL",
            "middle_name": "S",
            "prefix": "DR.",
            "credential": "M.D",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Kelley Kleeberg
• Christine Lauren Klein, PT, DPT
• Pamela Klingberg, R.PH.
• William L Knappenberger, M.D.
• Knight Neurology LLC
• Justin Conrad Koenitzer, PSYD
• Danielle Lia Kohl, M.A.
• Ronald Kohlbrand, DDS
• Monika Kolaczewska
• Marcella D Kolasa

• Family Medicine Physician in Rockledge, FL
• Providers in Rockledge, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.