Active NPI
Mabel E Caban, MD
- Physical Medicine & Rehabilitation Physician
- Jacksonville, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- L0059
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 147493401 | Medicaid | TX |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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, Inc
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 100
- 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physical Medicine Specialists, Inc. | Physical Medicine & Rehabilitation | Current | 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.
-
- Physical Medicine & Rehabilitation Physician
- Jacksonville, FL
- NPI 1952343261
FL, Physical Medicine & Rehabilitation
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.