Individual provider Active NPI

Rene Cabeza, MD

  • Hematology & Oncology Physician
  • Orange City, FL
National Provider Identifier
1336198407
Registry record updated Dec 14, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
ME77058 Issued in FL
Practice address
2776 Enterprise Rd
# 100
Orange City, FL 32763-8200
Phone
(386) 774-1223
Fax
(386) 774-4658
NPI assigned
May 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X ME77058 FL
Hematology & Oncology Physician 207RH0003X ME77058 FL Primary

Addresses

Primary practice location

2776 Enterprise Rd
# 100
Orange City, FL 32763-8200

Mailing address

2776 Enterprise Rd Ste 100
Orange City, FL 32763-8316
Phone (386) 774-1223

Other identifiers 1

IdentifierTypeStateIssuer
255407100MedicaidFL

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
I20100611000573 FL Practitioner - Hematology/OncologyPractitioner - Internal Medicine 2668500653 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hematology/OncologyAlso: Internal Medicine
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mid-Florida Cancer Centers LLCGroup PAC ID 4880584135, 13 clinicians

Practice addresses (Care Compare)

2776 Enterprise Rd
Suite 100
Orange City, FL 32763-8316
Phone (386) 774-1223

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
91.45
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Mid-Florida Cancer Centers LLC Specialist CurrentSince Jun 1, 1999 Accepting new patients
Mid-Florida Hematology & Oncology Centers, PA Hematology & Oncology Past Accepting new patients

Locations

805 N Spring Garden Ave
Deland, FL 32720
Phone (386) 734-1013

2776 Enterprise Rd
#100
Orange City, FL 32763
Phone (386) 774-1223

2100 W 1st St
Sanford, FL 32771
Phone (407) 323-2250

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 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": "1147046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1513209600000",
    "number": "1336198407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2776 ENTERPRISE RD STE 100",
            "city": "ORANGE CITY",
            "state": "FL",
            "postal_code": "327638316",
            "telephone_number": "386-774-1223",
            "fax_number": "386-774-4658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2776 ENTERPRISE RD",
            "address_2": "# 100",
            "city": "ORANGE CITY",
            "state": "FL",
            "postal_code": "327638200",
            "telephone_number": "386-774-1223",
            "fax_number": "386-774-4658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CABEZA",
        "first_name": "RENE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-08",
        "last_updated": "2017-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME77058",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "FL",
            "license": "ME77058",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "255407100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange City, FL

Sources for this page

Verify at the official NPI Registry.