Individual provider Active NPI

Carlos M Baez Cubille, MD

  • General Practice Physician
  • Sebring, FL
National Provider Identifier
1225082068
Registry record updated Aug 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
ACN1525 Issued in FL
Practice address
4597 Casablanca Cir
Sebring, FL 33870-1206
Phone
(863) 236-9550
Fax
(877) 832-3363
NPI assigned
May 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X ACN1525 FL Primary

Addresses

Primary practice location

4597 Casablanca Cir
Sebring, FL 33870-1206

Mailing address

4597 Casablanca Cir
Sebring, FL 33870-1206
Phone (863) 236-9550

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR, FL2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20110606000555 PR Practitioner - General Practice 0749467421 Reassigns benefits to 1 organization
I20230919004117 FL Practitioner - General Practice 0749467421 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Shield Medical Group PLLCGroup PAC ID 0648534479, 2 clinicians

Practice addresses (Care Compare)

4597 Casablanca Cir
Sebring, FL 33870-1206
Phone (863) 301-4499

Hospital & facility affiliations

  • Adventhealth Sebring Hospital, Sebring, FL, CCN 100109

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Shield Medical Group PLLC CurrentSince Jul 1, 2023 Accepting new patients
Sur-Med Medical Corp. CurrentSince Jul 13, 1998 Accepting new patients
Interventional Cardiology and Vascular Consultants, P.L.C. PastSince Jul 1, 2023 Accepting new patients

Locations

23607 US Highway 27
Lake Wales, FL 33859
Phone (727) 522-1061

25103 US Highway 27
Lake Wales, FL 33859
Phone (863) 236-9550

4597 Casablanca Cir
Sebring, FL 33870
Phone (863) 236-9550

8 Calle Colon Pacheco
Salinas, PR 00751
Phone (787) 824-1100

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BIEDBD/Endpoint/BIEDBD
  • FHIR API: https://fhir4.healow.com/fhir/r4/CJAGBA
  • FHIR API: https://fhir4.healow.com/fhir/r4/BIEDBD

Organizations & group practices 3

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.

Hospital & facility affiliations 1

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": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692576000000",
    "number": "1225082068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4597 CASABLANCA CIR",
            "city": "SEBRING",
            "state": "FL",
            "postal_code": "338701206",
            "telephone_number": "863-236-9550",
            "fax_number": "877-832-3363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4597 CASABLANCA CIR",
            "city": "SEBRING",
            "state": "FL",
            "postal_code": "338701206",
            "telephone_number": "863-236-9550",
            "fax_number": "877-832-3363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAEZ CUBILLE",
        "first_name": "CARLOS",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-19",
        "last_updated": "2023-08-21",
        "certification_date": "2023-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ACN1525",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sebring, FL

Sources for this page

Verify at the official NPI Registry.