Individual provider Active NPI

Mary L Oberst, M.D.

  • Cardiovascular Disease Physician
  • Vero Beach, FL
National Provider Identifier
1174510168
Registry record updated Jul 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
ME125665 Issued in FL
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

Updated by the provider on Jul 23, 2024

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

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
100064670AMedicaidOK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, GA, KY, TX4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20151123002577 FL Practitioner - Cardiovascular Disease (Cardiology) 8123030020 Reassigns benefits to 3 organizations
I20161102001574 GA Practitioner - Cardiovascular Disease (Cardiology) 8123030020 Reassigns benefits to 2 organizations
I20180123003127 KY Practitioner - Cardiovascular Disease (Cardiology) 8123030020 Reassigns benefits to 1 organization
I20231002002846 TX Practitioner - Cardiovascular Disease (Cardiology) 8123030020

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
Indian River Health Services IncGroup PAC ID 9234130329, 335 clinicians

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 Hospital, Vero Beach, FL, CCN 100105
  • Cleveland Clinic Martin North Hospital Hospital, Stuart, FL, CCN 100044
  • Orlando Health Sebastian River Hospital Hospital, Sebastian, FL, CCN 100217

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
51164KYMDCardiovascular Disease Physician
TP288KYMDCardiovascular Disease Physician
42530TNMDCardiovascular Disease Physician
0101269315VAMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Florida Jacksonville Physicians, Inc. CurrentSince Nov 6, 2015 Accepting new patients
Indian River Health Services Inc CurrentSince Sep 1, 2022 Accepting new patients
University of Florida Jacksonville Physicians Inc Cardiovascular Disease CurrentSince Nov 6, 2015 Accepting new patients
Owensboro Health Medical Group Inc Current Accepting new patients
Owensboro Health Medical Group, Inc CurrentSince Jan 15, 2018 Accepting new patients
University of Florida Jacksonville Physicians, Inc. CurrentSince Nov 1, 2016 Accepting new patients
Indian River Health Services Inc CurrentSince Sep 1, 2022 Accepting new patients
Owensboro Health Medical Group Inc CurrentSince Jan 15, 2018 Accepting new patients
Romtherapy New Jersey Medical PA Cardiovascular Disease CurrentSince Mar 17, 2024 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

  • Direct secure messaging: 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.

View all 14

Hospital & facility affiliations 3

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": "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

Verify at the official NPI Registry.