Active NPI
Mary L Oberst, M.D.
- Cardiovascular Disease Physician
- Vero Beach, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- ME125665
- Practice address
- 3450 11TH CT Ste 102
Vero Beach, FL 32960-5012 - Phone
- (772) 778-8687
- Fax
- (772) 778-3680
- NPI assigned
- Oct 4, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 8
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | MD-15388 | HI | |
| Cardiovascular Disease Physician | 207RC0000X | 0101269315 | VA | |
| Cardiovascular Disease Physician | 207RC0000X | ME125665 | FL | Primary |
| Cardiovascular Disease Physician | 207RC0000X | 42530 | TN | |
| Cardiovascular Disease Physician | 207RC0000X | 22894 | OK | |
| Cardiovascular Disease Physician | 207RC0000X | 51164 | KY | |
| Cardiovascular Disease Physician | 207RC0000X | K4972 | TX | |
| Cardiovascular Disease Physician | 207RC0000X | TP288 | KY |
Addresses
Primary practice location
3450 11TH CT Ste 102
Vero Beach, FL 32960-5012
Mailing address
3450 11TH CT Ste 102
Vero Beach, FL 32960-5012
Phone (772) 778-8687
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100064670A | Medicaid | OK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, GA, KY, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- University of Louisville School of Medicine, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3450 11TH CT
Suite 102
Vero Beach, FL 32960-5012
Phone (772) 778-8687
Hospital & facility affiliations
- Cleveland Clinic Indian River Hospital
- Cleveland Clinic Martin North Hospital
- Orlando Health Sebastian River Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 51164 | KY | MD | Cardiovascular Disease Physician |
| TP288 | KY | MD | Cardiovascular Disease Physician |
| 42530 | TN | MD | Cardiovascular Disease Physician |
| 0101269315 | VA | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Florida Jacksonville Physicians, Inc. | Current | Accepting new patients | |
| Indian River Health Services Inc | Current | Accepting new patients | |
| University of Florida Jacksonville Physicians Inc | Cardiovascular Disease | Current | Accepting new patients |
| Owensboro Health Medical Group Inc | Current | Accepting new patients | |
| Owensboro Health Medical Group, Inc | Current | Accepting new patients | |
| University of Florida Jacksonville Physicians, Inc. | Current | Accepting new patients | |
| Indian River Health Services Inc | Current | Accepting new patients | |
| Owensboro Health Medical Group Inc | Current | Accepting new patients | |
| Romtherapy New Jersey Medical PA | Cardiovascular Disease | Current | Accepting new patients |
| Williamson County Hospital District | Past | Accepting new patients | |
| Williamson Hospitalist Program | Past | Accepting new patients | |
| Indian River Health Services Inc | Past | Accepting new patients | |
| Heart Group PLLC | Cardiovascular Disease | Past | Accepting new patients |
Locations
655 W 8th St
Jacksonville, FL 32209
Phone (904) 244-1680
801 Wellness Way
Ste 203
Sebastian, FL 32958
Phone (772) 562-8522
1190 37th St
Vero Beach, FL 32960
Phone (772) 563-4666
3450 11th Ct
Ste 102
Vero Beach, FL 32960
Phone (772) 778-8687
1000 36th St
Ste 2322
Vero Beach, FL 32960
1000 36th St
Vero Beach, FL 32960
Phone (772) 567-1942
201 Lakeshore Pt
Ste B
Saint Marys, GA 31558
Phone (912) 729-6821
2211 Mayfair Dr
Ste 102
Owensboro, KY 42301
Phone (270) 688-1351
2211 Mayfair Dr
Ste 101
Owensboro, KY 42301
Phone (270) 688-1352
1301 Pleasant Valley Rd
Ste 202
Owensboro, KY 42303
Phone (270) 417-7500
6801 Brecksville Rd
Ste 20
Seven Hills, OH 44131
Phone (216) 445-3363
22505 Imperial Valley Dr
Ste 155
Houston, TX 77073
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Interoperability endpoints
- moberst84642@direct.owensborohealth.org
Organizations & group practices 14
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.
-
- Psychiatry Physician
- Vero Beach, FL
- NPI 1710933031
-
- Internal Medicine Physician
- Jacksonville, FL
- NPI 1144276452
GA
-
- Surgery Physician
- Greenville, KY
- NPI 1235518242
-
- Urgent Care Clinic/Center
- Vero Beach, FL
- NPI 1720319809
-
- Cardiovascular Disease Physician
- Jacksonville, FL
- NPI 1851551121
-
- Physiological Laboratory
- Jacksonville, FL
- NPI 1831800952
-
- Internal Medicine Physician
- Owensboro, KY
- NPI 1306700711
-
- Family Medicine Physician
- Owensboro, KY
- NPI 1558794537
-
- Cardiovascular Disease Physician
- Trenton, NJ
- NPI 1568227262
-
- Internal Medicine Physician
- Vero Beach, FL
- NPI 1124074455
-
- Cardiovascular Disease Physician
- Nashville, TN
- NPI 1861442592
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Vero Beach, FL
- NPI 1376512988
-
- General Acute Care Hospital
- Stuart, FL
- NPI 1194790055
-
- General Acute Care Hospital
- Sebastian, FL
- NPI 1578381307
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128384000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721692800000",
"number": "1174510168",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3450 11TH CT STE 102",
"city": "VERO BEACH",
"state": "FL",
"postal_code": "329605012",
"telephone_number": "772-778-8687",
"fax_number": "772-778-3680"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3450 11TH CT STE 102",
"city": "VERO BEACH",
"state": "FL",
"postal_code": "329605012",
"telephone_number": "772-778-8687",
"fax_number": "772-778-3680"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OBERST",
"first_name": "MARY",
"middle_name": "L",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-10-04",
"last_updated": "2024-07-23",
"certification_date": "2023-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "HI",
"license": "MD-15388",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "VA",
"license": "0101269315",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "FL",
"license": "ME125665",
"primary": true
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "TN",
"license": "42530",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "OK",
"license": "22894",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "KY",
"license": "51164",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "TX",
"license": "K4972",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "KY",
"license": "TP288",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100064670A",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Vero Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2024; 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.