Individual provider Active NPI

Mabel E Caban, MD

  • Physical Medicine & Rehabilitation Physician
  • Jacksonville, FL
National Provider Identifier
1255410833
Registry record updated Aug 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
L0059 Issued in TX
Practice address
3901 University Blvd S Ste 103
Jacksonville, FL 32216
Phone
(904) 345-7373
Fax
(904) 345-7372
NPI assigned
Nov 3, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X L0059 TX Primary

Addresses

Primary practice location

3901 University Blvd S Ste 103
Jacksonville, FL 32216

Mailing address

3599 University Blvd S
Jacksonville, FL 32216-4252
Phone (904) 345-7776

Other identifiers 1

IdentifierTypeStateIssuer
147493401MedicaidTX

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
I20170413001597 FL Practitioner - Physical Medicine and Rehabilitation 2466596408 Reassigns benefits to 1 organization
Practice locations: Jacksonville, FL

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
University of Puerto Rico School of Medicine, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physical Medicine Specialists, IncGroup PAC ID 1658335328, 60 clinicians

Practice addresses (Care Compare)

3901 University Blvd S
Jacksonville, FL 32216-4312
Phone (904) 345-7373

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Promoting interoperability
99
Improvement activities
40
Cost
85.3

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Physical Medicine Specialists, Inc. Physical Medicine & Rehabilitation CurrentSince Jul 30, 2018 Accepting new patients

Locations

3599 University Blvd S
Jacksonville, FL 32216
Phone (904) 345-7600

3901 University Blvd S
Jacksonville, FL 32216
Phone (904) 345-7251

3901 University Blvd S
Ste 103
Jacksonville, FL 32216
Phone (904) 345-7373

Organizations & group practices 1

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": "1162512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534377600000",
    "number": "1255410833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3599 UNIVERSITY BLVD S",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322164252",
            "telephone_number": "904-345-7776",
            "fax_number": "904-345-7772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 UNIVERSITY BLVD S STE 103",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "32216",
            "telephone_number": "904-345-7373",
            "fax_number": "904-345-7372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CABAN",
        "first_name": "MABEL",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-03",
        "last_updated": "2018-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "TX",
            "license": "L0059",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "147493401",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.