Individual provider Active NPI

Gregorio Caban, DPM

  • Foot & Ankle Surgery Podiatrist
  • Doral, FL
National Provider Identifier
1205894391
Registry record updated Mar 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
PO-3185 Issued in FL
Practice address
2000 NW 87TH Ave Ste 217
Doral, FL 33172-2657
Phone
(305) 396-8731
Fax
(305) 396-8732
NPI assigned
May 1, 2006
Last updated
Mar 14, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 14, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X PO3185 FL
Foot & Ankle Surgery Podiatrist 213ES0103X PO-3185 FL Primary

Addresses

Primary practice location

2000 NW 87TH Ave Ste 217
Doral, FL 33172-2657

Mailing address

20489 NW 12TH CT
Miami Gardens, FL 33169-2431
Phone (305) 849-1677

Other practice location 1

10887 NW 17th St Unit 108
Miami, FL 33172-2044
Phone (786) 359-4999

Other identifiers 1

IdentifierTypeStateIssuer
340584200MedicaidFL

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070130000565 FL Practitioner - Podiatry 5496756611 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Barry University School of Podiatric Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Porta del Sol Surgical Services IncGroup PAC ID 2062682214, 2 clinicians

Practice addresses (Care Compare)

2000 NW 87TH Ave
Suite 217
Doral, FL 33172-2657
Phone (305) 396-8731

2001 W 66TH St
Hialeah, FL 33016-1801
Phone (305) 823-5000

2103 Coral Way
Miami, FL 33145-2601
Phone (305) 441-7030

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue29
Removal of skin lesions13
Removal of nail tissue468
Removal or shaving of skin growth64
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PO-3185FLMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Health Consulting Associates LLC Foot & Ankle Surgery CurrentSince Jan 1, 2016 Accepting new patients
Absolute Foot & Ankle Specialists Inc Foot & Ankle Surgery CurrentSince Jan 2, 2025 Accepting new patients
Nova Medical Services - Specialties Division LLC CurrentSince Jul 1, 2021 Accepting new patients
Nova Medical Services - Wound Care Division LLC CurrentSince Apr 1, 2023 Accepting new patients
PA Surgical Inc CurrentSince Nov 16, 2017 Accepting new patients
Tamiami Rehab Center Corp General Practice PastSince Dec 1, 2023 Accepting new patients

Locations

2103 Coral Way
Miami, FL 33145
Phone (305) 441-7030

3143 NE 163rd St
North Miami Beach, FL 33160
Phone (305) 343-1365

8260 W Flagler St
Ste 2I
West Miami, FL 33144
Phone (786) 530-6272

Interoperability endpoints

  • Direct secure messaging: drcaban@afaasi-fl.direct.office.nextgen.com
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 9

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.

Hospital & facility affiliations 2

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": "1146441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647216000000",
    "number": "1205894391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20489 NW 12TH CT",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "331692431",
            "telephone_number": "305-849-1677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 NW 87TH AVE STE 217",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331722657",
            "telephone_number": "305-396-8731",
            "fax_number": "305-396-8732"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10887 NW 17th St Unit 108",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331722044",
            "country_code": "US",
            "telephone_number": "786-359-4999",
            "fax_number": "786-359-4843",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CABAN",
        "first_name": "GREGORIO",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-01",
        "last_updated": "2022-03-14",
        "certification_date": "2022-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "PO3185",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "FL",
            "license": "PO-3185",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "340584200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Doral, FL

Sources for this page

Verify at the official NPI Registry.