Individual provider Active NPI

Eric Javier Ceballos, MD

  • Family Medicine Physician
  • Miami, FL
National Provider Identifier
1255075792
Registry record updated Oct 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME173267 Issued in FL
Practice address
500 NW 124TH Ave
Miami, FL 33182-1223
Phone
(786) 423-5930
NPI assigned
Apr 21, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME173267 FL Primary

Addresses

Primary practice location

500 NW 124TH Ave
Miami, FL 33182-1223

Mailing address

500 NW 124TH Ave
Miami, FL 33182-1223
Phone (786) 423-5930

Other practice location 1

7229 US Highway 301 S
Riverview, FL 33578-4346
Phone (813) 677-8418

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251008000142 FL Practitioner - Family Practice 3779080684 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ohi West Medical Group II LLCGroup PAC ID 0648631192, 407 clinicians

Practice addresses (Care Compare)

7229 US Hwy 301 S
Riverview, FL 33578-4346
Phone (813) 677-8418

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ohi West Medical Group II LLC CurrentSince Oct 6, 2025 Accepting new patients
Ohi West Medical Group II LLC CurrentSince Oct 6, 2025 Accepting new patients
Ohi West Medical Group II LLC Past Accepting new patients

Locations

7229 US Highway 301 S
Riverview, FL 33578
Phone (813) 677-8418

38135 Market Square Dr
Zephyrhills, FL 33542
Phone (352) 567-0188

38135 Market Square Dr
Ste 101
Zephyrhills, FL 33542
Phone (813) 788-7651

Interoperability endpoints

  • Direct secure messaging: eric.ceballosmd@direct.mybaycare.org

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1650499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759276800000",
    "number": "1255075792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 NW 124TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331821223",
            "telephone_number": "786-423-5930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 NW 124TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331821223",
            "telephone_number": "786-423-5930"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7229 US Highway 301 S",
            "address_purpose": "LOCATION",
            "city": "Riverview",
            "state": "FL",
            "postal_code": "335784346",
            "country_code": "US",
            "telephone_number": "813-677-8418",
            "fax_number": "813-355-5906",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CEBALLOS",
        "first_name": "ERIC",
        "middle_name": "JAVIER",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-04-21",
        "last_updated": "2025-10-01",
        "certification_date": "2025-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME173267",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.