Individual provider Active NPI

Robby John Caballes, DPM

  • Foot & Ankle Surgery Podiatrist
  • Vero Beach, FL
National Provider Identifier
1225558141
Registry record updated Jun 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
P04156 Issued in FL
Practice address
3735 11TH Circle Ste 201
Vero Beach, FL 32960
Phone
(772) 299-7009
Fax
(772) 562-7138
NPI assigned
Jun 21, 2017
Last updated
Jun 23, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 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 P04156 FL Primary

Addresses

Primary practice location

3735 11TH Circle Ste 201
Vero Beach, FL 32960

Mailing address

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

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
I20200729001827 FL Practitioner - Podiatry 7416372180 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2017
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)

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 tissue387
Removal of skin lesions1-10
Removal of nail tissue770
Removal or shaving of skin growth587

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
P04156FLMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Amberly C Paradoa DPM PA Podiatrist CurrentSince Jul 16, 2020 Accepting new patients
Amberly Paradoa DPM PA CurrentSince Jul 16, 2020 Accepting new patients

Locations

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

13852 US Highway 1
Sebastian, FL 32958
Phone (772) 589-3600

1627 US Highway 1
Ste 208
Sebastian, FL 32958
Phone (772) 299-7009

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

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 8

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": "1498003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592870400000",
    "number": "1225558141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3735 11TH CIRCLE STE 201",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "32960",
            "telephone_number": "772-299-7009",
            "fax_number": "772-562-7138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3735 11TH CIRCLE STE 201",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "32960",
            "telephone_number": "772-299-7009",
            "fax_number": "772-562-7138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CABALLES",
        "first_name": "ROBBY",
        "middle_name": "JOHN",
        "name_prefix": "Mr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-21",
        "last_updated": "2020-06-23",
        "certification_date": "2020-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "FL",
            "license": "P04156",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vero Beach, FL

Sources for this page

Verify at the official NPI Registry.