Nicole Christine Cabbad, M.D., M.B.A.
Individual provider Active NPI Plastic Surgery Physician · Lake Mary, FL
NPI 1306133004 · NPPES record last updated Aug 30, 2023
Key facts
- NPI
- 1306133004
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Plastic Surgery Physician 208200000X
- License
- ME131243 (FL)
- Practice address
- 120 International Pkwy
Lake Mary, FL 32746-5031 - Phone
- (866) 400-3376
- Fax
- (407) 829-6637
- NPI assigned
- Jul 1, 2011
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Plastic and Reconstructive Surgery
- Education
- Yale University School of Medicine, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Leavitt Medical Associates of Florida Inc
Practice addresses (Care Compare)
120 International Pkwy
Suite 240
Heathrow, FL 32746-5033
Phone (407) 333-4200
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 51 |
| Skin biopsy | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210615000793 | FL | Practitioner - Plastic and Reconstructive Surgery | 4587064464 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Business Administration, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2848971 | NY | MD | Plastic Surgery Physician |
Practice roles (2 of 4)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Leavitt Medical Associates of Florida Inc | Plastic Surgery | Current |
Accepting new patients |
| Leavitt Medical Associates of Florida Inc | Plastic Surgery | Current |
Accepting new patients |
Locations
1920 Don Wickham Dr
Ste 330
Clermont, FL 34711
Phone (352) 241-4298
2915 Lakeview Dr
Ste 2021
Fern Park, FL 32730
Phone (407) 788-8900
120 International Pkwy
Ste 240
Lake Mary, FL 32746
Phone (407) 333-4200
151 Southhall Ln
Ste 300
Maitland, FL 32751
Phone (407) 917-7293
1918 SE 17th St
#300
Ocala, FL 34471
Phone (352) 620-2420
14050 Town Loop Blvd
Ste 203
Orlando, FL 32837
Phone (407) 852-6650
1507 Park Center Dr
Unit 1D1E
Orlando, FL 32835
Phone (407) 445-9445
80 W Grant St
Ste 117
Orlando, FL 32806
Phone (407) 770-0139
1410 W Broadway St
Ste 205
Oviedo, FL 32765
Phone (407) 359-2100
3006 17th St
Saint Cloud, FL 34769
Phone (407) 498-7100
1816 Salk Ave
Tavares, FL 32778
Phone (352) 343-2461
1503 Buenos Aires Blvd
Ste 100
The Villages, FL 32159
Phone (352) 753-2812
1801 Lee Rd
Ste 115
Winter Park, FL 32789
Phone (407) 644-1500
Networks
- Freedom Health HMO Network
- Optimum HealthCare HMO Network
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery Physician | 208200000X | 2848971 | NY | |
| Plastic Surgery Physician | 208200000X | ME131243 | FL | Yes |
Addresses
Primary practice location
120 International Pkwy
Lake Mary, FL 32746-5031
Mailing address
120 International Pkwy Ste 240
Heathrow, FL 32746-5033
Phone (866) 400-3376
Other providers in Lake Mary, FL
- Kayleigh Gisele Bush French
- Donnieshia Leetora Butler
- Erika S Butler
- Thomas Dylan Butler
- Robert Caban
- Christopher L Caggiano
- Ashley Elizabeth Cahalane
- Travis Eugene Caissie
- Elyana Calderon
- Tatyana Rivera Calderon
All providers in Lake Mary, FL · Plastic Surgery Physician in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 30, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.