Active NPI
Caroline T Kedem, M.D.
- Diagnostic Radiology Physician
- Vero Beach, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- ME90433
- Practice address
- 3725 11TH CR
Vero Beach, FL 32960-4804 - Phone
- (772) 562-0163
- Fax
- (772) 567-5631
- NPI assigned
- Aug 9, 2005
- 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 |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | ME90433 | FL | Primary |
Addresses
Primary practice location
3725 11TH CR
Vero Beach, FL 32960-4804
Mailing address
3725 11TH CR
Vero Beach, FL 32960-4804
Phone (772) 562-0163
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 44064 | Other | FL | BLUE CROSS/BLUE SHIELD |
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
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- University of Miami, LM Miller School of Medicine, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2950 Cleveland Clinic Blvd
Weston, FL 33331-3609
Phone (954) 659-5000
Hospital & facility affiliations
- Cleveland Clinic Indian River Hospital
- Cleveland Clinic Hospital
- Orlando Health Sebastian River Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.26 of 100
- Quality
- 80.2
- Promoting interoperability
- 99.24
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Indian River Health Services Inc | Current | Accepting new patients | |
| Indian River Health Services Inc | Current | Accepting new patients | |
| Cleveland Clinic Florida a Nonprofit Corporation | Current | Accepting new patients |
Locations
5701 N University Dr
Parkland, FL 33067
Phone (954) 518-7500
1000 36th St
#6094
Vero Beach, FL 32960
3725 11th Cir
Vero Beach, FL 32960
Phone (772) 410-0155
1000 36th St
Vero Beach, FL 32960
Phone (772) 567-1942
3450 11th Ct
Ste 302A
Vero Beach, FL 32960
Phone (772) 794-1444
1190 37th St
Vero Beach, FL 32960
Phone (772) 563-4666
2950 Cleveland Clinic Blvd
Weston, FL 33331
Phone (954) 689-5000
6801 Brecksville Rd
Ste 20
Seven Hills, OH 44131
Phone (216) 445-3363
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
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.
-
- Clinic/Center
- Weston, FL
- NPI 1215989298
-
- Psychiatry Physician
- Vero Beach, FL
- NPI 1710933031
-
- Endocrinology, Diabetes & Metabolism Physician
- Vero Beach, FL
- NPI 1255738480
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Weston, FL
- NPI 1083644033
-
- General Acute Care Hospital
- Vero Beach, FL
- NPI 1376512988
-
- General Acute Care Hospital
- Sebastian, FL
- NPI 1578381307
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1346889600000",
"number": "1295736692",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3725 11TH CR",
"city": "VERO BEACH",
"state": "FL",
"postal_code": "329604804",
"telephone_number": "772-562-0163",
"fax_number": "772-567-5631"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3725 11TH CR",
"city": "VERO BEACH",
"state": "FL",
"postal_code": "329604804",
"telephone_number": "772-562-0163",
"fax_number": "772-567-5631"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEDEM",
"first_name": "CAROLINE",
"middle_name": "T",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-08-09",
"last_updated": "2012-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "FL",
"license": "ME90433",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS/BLUE SHIELD",
"identifier": "44064",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Vero Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2012; 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.