Active NPI
Juan C Cabrera Jr., MD
- Geriatric Psychiatry Physician
- Evansville, IN
National Provider Identifier
1295742377
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Psychiatry Physician
- License
- 01038887
- Practice address
- 101 Plaza East Blvd Ste 303
Evansville, IN 47715-2871 - Phone
- (812) 473-1307
- Fax
- (812) 473-1035
- NPI assigned
- Aug 2, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Geriatric Psychiatry Physician | 2084P0805X | 01038887 | IN | Primary |
Addresses
Primary practice location
101 Plaza East Blvd Ste 303
Evansville, IN 47715-2871
Mailing address
101 Plaza East Blvd Ste 303
Evansville, IN 47715-2871
Phone (812) 479-1511
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200002820B | Medicaid | IN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- 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 |
|---|---|---|---|---|
| I20040130000070 | IN | Practitioner - Psychiatry | 3971406505 | Practice locations: Evansville, IN |
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Indiana University School of Medicine, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
101 Plaza E Blvd
Evansville, IN 47715-2871
Phone (812) 479-1511
Hospital & facility affiliations
- Deaconess Hospital Inc
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01038887 | IN | MD | Geriatric Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mary Austin Pmhnp LLC | Past | Accepting new patients |
Interoperability endpoints
- jcabrera278078@direct.deaconess.com
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.
-
- Psychiatric/Mental Health Nurse Practitioner
- Evansville, IN
- NPI 1477493534
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Newburgh, IN
- NPI 1780535427
-
- General Acute Care Hospital
- Evansville, IN
- NPI 1053361642
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154476800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1626307200000",
"number": "1295742377",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 PLAZA EAST BLVD STE 303",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477152871",
"telephone_number": "812-479-1511",
"fax_number": "812-473-1035"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 PLAZA EAST BLVD STE 303",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477152871",
"telephone_number": "812-473-1307",
"fax_number": "812-473-1035"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CABRERA",
"first_name": "JUAN",
"middle_name": "C",
"name_suffix": "Jr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-02",
"last_updated": "2021-07-15",
"certification_date": "2021-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0805X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Geriatric Psychiatry",
"state": "IN",
"license": "01038887",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200002820B",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Evansville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2021; 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.