Individual provider Active NPI

Jose B Caballe, MD

  • Internal Medicine Physician
  • McKeesport, PA
National Provider Identifier
1386747590
Registry record updated Aug 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD038310L Issued in PA
Practice address
1432 Lincoln Way
Suite 201
McKeesport, PA 15131-1600
Phone
(412) 678-7711
Fax
(412) 664-7903
NPI assigned
Sep 6, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 15, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD038310L PA Primary

Addresses

Primary practice location

1432 Lincoln Way
Suite 201
McKeesport, PA 15131-1600

Mailing address

1432 Lincoln Way
Suite 201
McKeesport, PA 15131-1600
Phone (412) 678-7711

Other identifiers 1

IdentifierTypeStateIssuer
0001728031MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20081210000252 PA Practitioner - Internal MedicinePractitioner - Geriatric Medicine 4486715315 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
83.75 of 100Reported as group
Quality
70.53
Promoting interoperability
100
Improvement activities
40
Cost
75.31

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD036310LPAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Upmc Community Medcine Inc CurrentSince Jul 1, 2008 Accepting new patients
Upmc Community Medicine Inc Internal Medicine CurrentSince Jul 1, 2008 Accepting new patients
Upmc Community Medicine, Inc Internal Medicine Current Accepting new patients

Locations

875 N Hermitage Rd
Ste 3
Hermitage, PA 16148
Phone (724) 347-4622

2000 West St
Munhall, PA 15120
Phone (412) 462-2177

339 6th Ave
Fl 5
Pittsburgh, PA 15222
Phone (412) 560-8762

1432 Lincoln Way
Ste 201
White Oak, PA 15131
Phone (412) 678-7711

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1157500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313366400000",
    "number": "1386747590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1432 LINCOLN WAY",
            "address_2": "SUITE 201",
            "city": "MCKEESPORT",
            "state": "PA",
            "postal_code": "151311600",
            "telephone_number": "412-678-7711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1432 LINCOLN WAY",
            "address_2": "SUITE 201",
            "city": "MCKEESPORT",
            "state": "PA",
            "postal_code": "151311600",
            "telephone_number": "412-678-7711",
            "fax_number": "412-664-7903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CABALLE",
        "first_name": "JOSE",
        "middle_name": "B",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-06",
        "last_updated": "2011-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD038310L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0001728031",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in McKeesport, PA

Sources for this page

Verify at the official NPI Registry.