NPIMap

Organization Active NPI

Caballero Family Healthcare Group PLLC

  • General Practice Physician
  • Germantown, TN
National Provider Identifier
1346430469
Registry record updated Feb 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
MD0000020966 Issued in TN
Legal business name
CABALLERO FAMILY HEALTHCARE GROUP PLLC
Practice address
1920 Kirby Pkwy
#202
Germantown, TN 38138-3696
Phone
(901) 751-9997
Fax
(901) 751-1344
NPI assigned
Jul 25, 2007
Last updated
Feb 12, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2014

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

Authorized official

Name
Hugo A. Caballero, M.D.NPI 1881672152
Title
Owner
Phone
(901) 751-9997

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X MD0000020966 TN Primary

Addresses

Primary practice location

1920 Kirby Pkwy
#202
Germantown, TN 38138-3696

Mailing address

1920 Kirby Pkwy
#202
Germantown, TN 38138-3696
Phone (901) 751-9997

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040902001433 TN Part B Supplier - Clinic/Group Practice 5193791937 Receives reassigned benefits from 5 practitioners
Practice locations: Germantown, TN

National Provider Directory

National Provider Directory
Tax ID family
Caballero Family Health Care Group PLLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.72652

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1185321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392163200000",
    "number": "1346430469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1920 KIRBY PKWY",
            "address_2": "#202",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381383696",
            "telephone_number": "901-751-9997",
            "fax_number": "901-751-1344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1920 KIRBY PKWY",
            "address_2": "#202",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381383696",
            "telephone_number": "901-751-9997",
            "fax_number": "901-751-1344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CABALLERO FAMILY HEALTHCARE GROUP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-25",
        "last_updated": "2014-02-12",
        "status": "A",
        "authorized_official_last_name": "CABALLERO",
        "authorized_official_first_name": "HUGO",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "901-751-9997",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "TN",
            "license": "MD0000020966",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Germantown, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.