Individual provider Active NPI

Caroline T Kedem, M.D.

  • Diagnostic Radiology Physician
  • Vero Beach, FL
National Provider Identifier
1295736692
Registry record updated Sep 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
ME90433 Issued in FL
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

Updated by the provider on Sep 6, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
44064OtherFLBLUE 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041105000409 FL Practitioner - Diagnostic Radiology 6103892344 Reassigns benefits to 2 organizations

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
Cleveland Clinic FloridaGroup PAC ID 7911807128, 717 clinicians

Practice addresses (Care Compare)

2950 Cleveland Clinic Blvd
Weston, FL 33331-3609
Phone (954) 659-5000

Hospital & facility affiliations

  • Cleveland Clinic Indian River Hospital Hospital, Vero Beach, FL, CCN 100105
  • Cleveland Clinic Hospital Hospital, Weston, FL, CCN 100289
  • Orlando Health Sebastian River Hospital Hospital, Sebastian, FL, CCN 100217

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Merit-based Incentive Payment System (MIPS)

Final score
92.26 of 100Reported as apm
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

OrganizationSpecialtyStatusNew patients
Indian River Health Services Inc CurrentSince Jan 1, 2023 Accepting new patients
Indian River Health Services Inc CurrentSince Jan 1, 2023 Accepting new patients
Cleveland Clinic Florida a Nonprofit Corporation CurrentSince Feb 9, 2023 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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.