Individual provider Active NPI

Theresa Goebel, D.O.

  • Family Medicine Physician
  • Hobe Sound, FL
National Provider Identifier
1366638835
Registry record updated Jul 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS8519 Issued in FL
Practice address
11786 SE Federal Hwy
Hobe Sound, FL 33455-5303
Phone
(772) 546-4215
Fax
(772) 546-8741
NPI assigned
Sep 19, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS8519 FL Primary

Addresses

Primary practice location

11786 SE Federal Hwy
Hobe Sound, FL 33455-5303

Mailing address

11786 SE Federal Hwy
Hobe Sound, FL 33455-5303
Phone (772) 546-4215

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
I20040319000773 FL Practitioner - Family Practice 2466342829 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Theresa Keller Goebel DO PAGroup PAC ID 9830089291, 2 clinicians
H2 Rehabilitation Services of Florida LLCGroup PAC ID 3971411851, shared by 10 NPIs, 257 clinicians

Practice addresses (Care Compare)

11786 SE Federal Hwy
Hobe Sound, FL 33455-5303
Phone (772) 546-4215

4900 SE Willoughby Blvd
Suite H2
Stuart, FL 34997-4009
Phone (800) 699-9395

Hospital & facility affiliations

  • Enhabit Home Health of Jupiter Medical Center Home health agency, Jupiter, FL, CCN 107544
  • Trilogy Home Healthcare Home health agency, Port Saint Lucie, FL, CCN 109270
  • Jupiter Medical Center Hospital, Jupiter, FL, CCN 100253
  • Cleveland Clinic Martin North Hospital Hospital, Stuart, FL, CCN 100044

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions44

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Theresa Keller Goebel D O P a CurrentSince Nov 6, 2003 Accepting new patients
Oceanside Urgent Care LLC PastSince Dec 1, 2012 Accepting new patients
Jupiter Urgent Care, Inc Past Accepting new patients

Locations

11786 SE Federal Hwy
Hobe Sound, FL 33455
Phone (772) 546-4215

1335 W Indiantown Rd
Ste B
Jupiter, FL 33458
Phone (561) 744-9995

1335 W Indiantown Rd
Ste A
Jupiter, FL 33458
Phone (561) 744-9995

Interoperability endpoints

  • Direct secure messaging: tgoebel19884@jupitermedicalcenter.direct-ci.com

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 4

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": "1190160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278547200000",
    "number": "1366638835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11786 SE FEDERAL HWY",
            "city": "HOBE SOUND",
            "state": "FL",
            "postal_code": "334555303",
            "telephone_number": "772-546-4215",
            "fax_number": "772-546-8741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11786 SE FEDERAL HWY",
            "city": "HOBE SOUND",
            "state": "FL",
            "postal_code": "334555303",
            "telephone_number": "772-546-4215",
            "fax_number": "772-546-8741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOEBEL",
        "first_name": "THERESA",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-19",
        "last_updated": "2010-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS8519",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hobe Sound, FL

Sources for this page

Verify at the official NPI Registry.