NPIMap

Individual provider Active NPI

Timothy John Caballes, DPM

  • Foot & Ankle Surgery Podiatrist
  • Vero Beach, FL
National Provider Identifier
1215226147
Registry record updated May 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
PO3615 Issued in FL
Practice address
3735 11TH Cir
Suite 201
Vero Beach, FL 32960-4844
Phone
(772) 299-7009
NPI assigned
Mar 31, 2011
Last updated
May 30, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 30, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X PO3615 FL Primary

Addresses

Primary practice location

3735 11TH Cir
Suite 201
Vero Beach, FL 32960-4844

Mailing address

3735 11TH Cir Ste 201
Vero Beach, FL 32960-4889
Phone (772) 299-7009

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140813002713 FL Practitioner - Podiatry 7113144213 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Barry University School of Podiatric Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Amberly C Paradoa DPM PAGroup PAC ID 9436220365, 4 clinicians

Practice addresses (Care Compare)

1000 36TH St
Vero Beach, FL 32960-4862
Phone (772) 567-4311

13695 US Hwy 1
Sebastian, FL 32958-3230
Phone (772) 589-3186

1600 37TH St
Vero Beach, FL 32960-4863
Phone (772) 778-2100

3735 11TH Cir
Suite 201
Vero Beach, FL 32960-4889
Phone (772) 299-7009

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue350
Removal of skin lesions1-10
Removal of nail tissue622
Removal or shaving of skin growth285

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Amberly C Paradoa DPM PA Foot & Ankle Surgery CurrentSince Jul 14, 2014 Accepting new patients
Amberly Paradoa DPM PA CurrentSince Jul 14, 2014 Accepting new patients

Locations

13695 US Highway 1
Sebastian, FL 32958
Phone (772) 589-3185

3735 11th Cir
Ste 201
Vero Beach, FL 32960
Phone (772) 299-7009

Interoperability endpoints

  • Direct secure messaging: caballes.timothy.001.0090134@lwdo.meditab.direct-ci.com

Organizations & group practices 2

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 6

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": "1301529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590796800000",
    "number": "1215226147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3735 11TH CIR STE 201",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329604889",
            "telephone_number": "772-299-7009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3735 11TH CIR",
            "address_2": "SUITE 201",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329604844",
            "telephone_number": "772-299-7009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CABALLES",
        "first_name": "TIMOTHY",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-03-31",
        "last_updated": "2020-05-30",
        "certification_date": "2020-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "FL",
            "license": "PO3615",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vero Beach, FL

Sources for this page

Verify at the official NPI Registry.