Active NPI
Bernardo Obeso, M.D.
- Hospitalist Physician
- Stuart, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- ME99089
- Practice address
- 200 SE Hospital Ave
Stuart, FL 34994-2346 - Phone
- (772) 223-5618
- Fax
- (772) 288-5834
- NPI assigned
- Dec 29, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | ME99089 | FL | |
| Internal Medicine Physician | 207R00000X | 036-097412 | IL | |
| Hospitalist Physician | 208M00000X | ME99089 | FL | Primary |
Addresses
Primary practice location
200 SE Hospital Ave
Stuart, FL 34994-2346
Mailing address
PO Box 417
Stuart, FL 34995-0417
Phone (772) 223-5618
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 279958800 | Medicaid | FL | |
| 78593 | Other | FL | BLUE CROSS BLUE SHIELD OF FLORIDA |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Hospitalist
- Education
- Other, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
200 SE Hospital Ave
Stuart, FL 34994-2346
Phone (772) 223-5665
Hospital & facility affiliations
- Cleveland Clinic Martin North Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.26 of 100
- Quality
- 80.2
- Promoting interoperability
- 99.24
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036-097412 | IL | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Martin Memorial Medical Center Inc | Current | Accepting new patients | |
| East Florida Hospitalists LLC | Hospitalist | Past | Accepting new patients |
| Collier Hma Physician Management LLC | Internal Medicine | Past | Accepting new patients |
| JFK Internal Medicine Faculty Practice, LLC | Past | Accepting new patients | |
| Advocate North Side Health Network | Past | Accepting new patients |
Locations
200 SE Hospital Ave
Stuart, FL 34994
Phone (772) 223-5618
509 SE Riverside Dr
Ste 305
Stuart, FL 34994
Phone (772) 221-2003
Networks
- Freedom Health HMO Network
- Optimum HealthCare HMO Network
Organizations & group practices 5
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.
-
- General Acute Care Hospital
- Stuart, FL
- NPI 1194790055
-
- Internal Medicine Physician
- Naples, FL
- NPI 1245282979
-
- Hospitalist Physician
- Margate, FL
- NPI 1457516114
-
- Specialist
- Atlantis, FL
- NPI 1467614651
-
- Institutional Pharmacy
- Chicago, IL
- NPI 1114645470
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Stuart, FL
- NPI 1194790055
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167350400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1617580800000",
"number": "1184780454",
"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": "772-223-5618",
"fax_number": "772-288-5834"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 SE HOSPITAL AVE",
"city": "STUART",
"state": "FL",
"postal_code": "349942346",
"telephone_number": "772-223-5618",
"fax_number": "772-288-5834"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OBESO",
"first_name": "BERNARDO",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-29",
"last_updated": "2021-04-05",
"certification_date": "2021-04-05",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "ME99089",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IL",
"license": "036-097412",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "FL",
"license": "ME99089",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "279958800",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD OF FLORIDA",
"identifier": "78593",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Stuart, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 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.