Individual provider Active NPI

Jennifer Marie Laporte Caballero, M.D.

  • Diagnostic Radiology Physician
  • Miami, FL
National Provider Identifier
1457732851
Registry record updated May 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
ME142258 Issued in FL
Practice address
8900 N Kendall Dr
Miami, FL 33176-2118
Phone
(786) 596-1960
Fax
(706) 653-1230
NPI assigned
Jun 11, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X ME142258 FL Primary
Student in an Organized Health Care Education/Training Program 390200000X PR

Addresses

Primary practice location

8900 N Kendall Dr
Miami, FL 33176-2118

Mailing address

PO Box 919336
Orlando, FL 32891-0001
Phone (786) 596-2314

Other names 1

  • Jennifer Marie Laporte Former name

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
I20200520002394 FL Practitioner - Diagnostic Radiology 6204267545 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
San Juan Bautista School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Brevard Physician Associates PLLCGroup PAC ID 1850535048, 221 clinicians
Health First Medical Group, LLCGroup PAC ID 7416100672, 701 clinicians

Practice addresses (Care Compare)

1350 Hickory St
Melbourne, FL 32901-3224
Phone (321) 434-7000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME142258FLMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Outpatient Services Inc CurrentSince Jul 1, 2020 Accepting new patients
Health First Medical Group, LLC CurrentSince Mar 1, 2022 Accepting new patients
Murthy Holdings Inc. CurrentSince Feb 1, 2026 Accepting new patients
Baptist Outpatient Services Inc Diagnostic Radiology CurrentSince Jul 1, 2020 Accepting new patients
Health First Medical Group, LLC Diagnostic Radiology CurrentSince Mar 1, 2022 Accepting new patients
Brevard Physician Associates, PLLC Diagnostic Radiology CurrentSince Aug 1, 2021 Accepting new patients
Surgical Group of Miami LLC Past Accepting new patients
Well & You ASC, LLC PastSince Feb 1, 2026 Accepting new patients

Locations

699 W Cocoa Beach Cswy
Ste 405
Cocoa Beach, FL 32931
Phone (321) 868-7272

6264 W Sample Rd
Ste 120
Coral Springs, FL 33067
Phone (954) 837-1020

4565 US Highway 17
Ste 240
Fleming Island, FL 32003
Phone (904) 895-5400

11513 N Main St
Jacksonville, FL 32218
Phone (904) 751-6200

15496 Max Leggett Pkwy
Jacksonville, FL 32218
Phone 9048955400 ext. 55400

1223 Gateway Dr
Melbourne, FL 32901
Phone (321) 549-0677

1350 Hickory St
Melbourne, FL 32901
Phone (321) 434-1771

8950 N Kendall Dr
Fl 2
Miami, FL 33176
Phone (786) 596-7200

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DJHCDD
  • Direct secure messaging: jlaporte71681@epicdirect.hf.org

Organizations & group practices 8

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 5

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": "1433980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589760000000",
    "number": "1457732851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 919336",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328910001",
            "telephone_number": "786-596-2314",
            "fax_number": "706-653-1230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8900 N KENDALL DR",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331762118",
            "telephone_number": "786-596-1960",
            "fax_number": "706-653-1230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAPORTE CABALLERO",
        "first_name": "JENNIFER",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-11",
        "last_updated": "2020-05-18",
        "certification_date": "2020-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME142258",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "PR",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "LAPORTE",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.