Organization Active NPI

Jose a Cobiella MD PA

  • Internal Medicine Physician
  • Homestead, FL
National Provider Identifier
1134495815
Registry record updated Mar 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
JOSE A COBIELLA MD PA
Practice address
950 N Krome Ave
Suite 203
Homestead, FL 33030-4400
Phone
(305) 242-0911
Fax
(305) 242-0912
NPI assigned
Mar 28, 2012
Last updated
Mar 28, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2012

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

Authorized official

Name
Mr. Jose A Cobiella, MDNPI 1023228988
Title
Owner
Phone
(305) 242-0911

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NU Primary

Addresses

Primary practice location

950 N Krome Ave
Suite 203
Homestead, FL 33030-4400

Mailing address

950 N Krome Ave
Suite 203
Homestead, FL 33030-4400
Phone (305) 242-0911

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120423000234 FL Part B Supplier - Clinic/Group Practice 1456512201 Receives reassigned benefits from 1 practitioner
Practice locations: Homestead, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2036943Jose a Cobiella MD PA950 N Krome Ave Ste 203, Homestead, FL 33030Certificate of waiverJul 18, 2027

National Provider Directory

National Provider Directory

Locations

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

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1332892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332892800000",
    "number": "1134495815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 N KROME AVE",
            "address_2": "SUITE 203",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330304400",
            "telephone_number": "305-242-0911",
            "fax_number": "305-242-0912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 N KROME AVE",
            "address_2": "SUITE 203",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330304400",
            "telephone_number": "305-242-0911",
            "fax_number": "305-242-0912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSE A COBIELLA MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-28",
        "last_updated": "2012-03-28",
        "status": "A",
        "authorized_official_last_name": "COBIELLA",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-242-0911",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Homestead, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.