Individual provider Active NPI

Karely Cabrera, MD

  • Internal Medicine Physician
  • Palm City, FL
National Provider Identifier
1104114958
Registry record updated Feb 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME133060 Issued in FL
Practice address
3066 SW Martin Downs Blvd
Palm City, FL 34990-2683
Phone
(772) 781-2791
Fax
(772) 781-2792
NPI assigned
Jul 14, 2011
Last updated
Feb 17, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2021

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 ME133060 FL Primary
Infectious Disease Physician 207RI0200X 76479 GA

Addresses

Primary practice location

3066 SW Martin Downs Blvd
Palm City, FL 34990-2683

Mailing address

PO Box 417
Stuart, FL 34995-0417
Phone (772) 232-2832

Other practice location 1

1801 SE Hillmoor Dr
Port St Lucie, FL 34952-7553
Phone (772) 464-9746

Other identifiers 1

IdentifierTypeStateIssuer
023105200MedicaidFL

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
I20171229001331 FL Practitioner - Internal MedicinePractitioner - Infectious Disease 1658669783 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University Central del Caribe Escuela de Medicina, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Indian River Health Services IncGroup PAC ID 9234130329, 335 clinicians
Legacy Healthcare Services IncGroup PAC ID 2163339722, shared by 46 NPIs, 3,431 clinicians

Practice addresses (Care Compare)

1265 36TH St
Vero Beach, FL 32960-6574
Phone (772) 567-6340

2100 10TH Ave
Vero Beach, FL 32960-5377
Phone (772) 365-4539

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME133060FLMDInternal Medicine Physician
76479GAMDInfectious Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Euclid Hospital Cleveland Clinic Health System Current Accepting new patients
Indian River Health Services Inc CurrentSince Jul 11, 2022 Accepting new patients
Indian River Health Services Inc CurrentSince Jul 11, 2022 Accepting new patients
Indian River Health Services Inc Internal Medicine Past Accepting new patients

Locations

3066 SW Martin Downs Blvd
Palm City, FL 34990
Phone (772) 781-2735

3066 SW Martin Downs Blvd
Ste C
Palm City, FL 34990
Phone (772) 781-2791

1190 37th St
Vero Beach, FL 32960
Phone (772) 563-4666

1265 36th St
Vero Beach, FL 32960
Phone (772) 567-6340

6801 Brecksville Rd
Ste 20
Seven Hills, OH 44131
Phone (216) 445-3363

Interoperability endpoints

  • Direct secure messaging: kcabreraosorio2341701@direct.ccf.org

Organizations & group practices 4

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 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": "1310601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613520000000",
    "number": "1104114958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 417",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349950417",
            "telephone_number": "772-232-2832",
            "fax_number": "772-781-2792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3066 SW MARTIN DOWNS BLVD",
            "city": "PALM CITY",
            "state": "FL",
            "postal_code": "349902683",
            "telephone_number": "772-781-2791",
            "fax_number": "772-781-2792"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1801 SE Hillmoor Dr",
            "address_purpose": "LOCATION",
            "city": "Port St Lucie",
            "state": "FL",
            "postal_code": "349527553",
            "country_code": "US",
            "telephone_number": "772-464-9746",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CABRERA",
        "first_name": "KARELY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-14",
        "last_updated": "2021-02-17",
        "certification_date": "2021-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME133060",
            "primary": true
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "GA",
            "license": "76479",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "023105200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm City, FL

Sources for this page

Verify at the official NPI Registry.