Adriana E. Carbon, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ME92564 Issued in FL

Practice address

781 Cypress Village Blvd
Ruskin, FL 33573-6801

Phone

(813) 633-3600

Fax

(813) 634-8210

NPI assigned

Jul 2, 2006

Last updated

Aug 13, 2021By the provider in NPPES

Sex

Female

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 5

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, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Optumcare Florida, LLCGroup PAC ID 3072403476, 266 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• Optimum HealthCare HMO Network
• Freedom Health HMO Network

Interoperability endpoints

• Direct secure messaging: adriana.carbon@wellmed.eclinicaldirectplus.com

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.

• Optumcare Florida LLC

  dba Optum

  • General Practice Physician
  • Tampa, FL
  • NPI 1053384214

  Family Medicine

  Medicare reassignment Care Compare group NPD
• Optumcare Florida, LLC

  dba Optum

  • Hospitalist Physician
  • Tampa, FL
  • NPI 1659884294
  NPD
• Optumcare Florida Ci, LLC

  • Primary Care Clinic/Center
  • Winter Park, FL
  • NPI 1720506603
  NPD (past)
• Parsons Medical Center Inc

  • Primary Care Clinic/Center
  • Brandon, FL
  • NPI 1780888248

  Family Medicine

  NPD (past)
• Parsons Walk-in Clinic

  dba Liberty Walk-In Clinic

  • Primary Care Clinic/Center
  • Ruskin, FL
  • NPI 1194982447

  Family Medicine

  NPD (past)
• Parsons Walk-in Clinic Inc

  dba Liberty Walk-In Clinic Inc

  • Urgent Care Clinic/Center
  • Brandon, FL
  • NPI 1851558191
  NPD (past)

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

{
    "created_epoch": "1151798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628812800000",
    "number": "1104855915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "781 CYPRESS VILLAGE BLVD",
            "city": "RUSKIN",
            "state": "FL",
            "postal_code": "335736801",
            "telephone_number": "813-633-3600",
            "fax_number": "813-634-8210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "781 CYPRESS VILLAGE BLVD",
            "city": "RUSKIN",
            "state": "FL",
            "postal_code": "335736801",
            "telephone_number": "813-633-3600",
            "fax_number": "813-634-8210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARBON",
        "first_name": "ADRIANA",
        "middle_name": "E.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-02",
        "last_updated": "2021-08-13",
        "certification_date": "2021-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME92564",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA MEDICARE PROVIDER NUMBER",
            "identifier": "593400761",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA COMMERCIAL PROVIDER NUMBER",
            "identifier": "593400761C",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA PROVIDER NUMBER",
            "identifier": "1720747",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE PROVIDER NUMBER",
            "identifier": "293121",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "30999",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mark Byrd
• Paige Marie Byrnes, M.A. CCC-SLP
• C3 Consulting and Services Inc (Our Butterfly Home)
• Maricar C Cal, ARNP
• Curtis Callender, M.S., LMHC, LPC, NCC
• Care Calling, LLC
• Caring for Eastern Florida, LLC
• Charles A Castillo, PHD
• Celestial Diligent Solutions, LLC
• Center for Radiation Oncology Inc

• Family Medicine Physician in Ruskin, FL
• Providers in Ruskin, 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 Aug 13, 2021; 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.