Active NPI
Jorge Reyes Caballero, M.D.
- Anesthesiology Physician
- Anniston, AL
National Provider Identifier
1275505174
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 00017489
- Practice address
- 400 E 10TH St
Anniston, AL 36207-4716 - Phone
- (256) 235-5278
- Fax
- (256) 238-1480
- NPI assigned
- Feb 3, 2006
- Last updated
- Nov 12, 2012
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 00017489 | AL | Primary |
Addresses
Primary practice location
400 E 10TH St
Anniston, AL 36207-4716
Mailing address
230 E 10TH St
Suite 115
Anniston, AL 36207-5784
Phone (256) 238-8386
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 051086323 | Other | AL | BCBS PROV NO. |
| 000086323 | Medicaid | AL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17489 | AL | MD | Pharmacist |
| 00017489 | AL | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anniston Anesthesia PA | Anesthesiology | Past | Accepting new patients |
| Brown, Davila, Khan, Maza, Ruiz & Whirley-Diaz, M.D.'S, P.a. | Anesthesiology | Past | Accepting new patients |
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.
-
- Anesthesiology Physician
- Anniston, AL
- NPI 1013971845
-
dba Doctors Anesthesia Associates
- Anesthesiology Physician
- Coral Gables, FL
- NPI 1760463269
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138924800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1352678400000",
"number": "1275505174",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "230 E 10TH ST",
"address_2": "SUITE 115",
"city": "ANNISTON",
"state": "AL",
"postal_code": "362075784",
"telephone_number": "256-238-8386",
"fax_number": "256-238-1480"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 E 10TH ST",
"city": "ANNISTON",
"state": "AL",
"postal_code": "362074716",
"telephone_number": "256-235-5278",
"fax_number": "256-238-1480"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CABALLERO",
"first_name": "JORGE",
"middle_name": "REYES",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-03",
"last_updated": "2012-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "AL",
"license": "00017489",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PROV NO.",
"identifier": "051086323",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000086323",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Anniston, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.