Individual provider Active NPI

Yosef Aaron Kaweblum, M.D.

  • Pediatric Adolescent Medicine Physician
  • Boca Raton, FL
National Provider Identifier
1508872318
Registry record updated Feb 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X
License
45659 Issued in FL
Practice address
6909 SW 18TH St Ste 202
Boca Raton, FL 33433-7078
Phone
(561) 347-8382
Fax
(561) 347-8487
NPI assigned
Aug 1, 2006
Last updated
Feb 18, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Adolescent Medicine Physician 2080A0000X 45659 FL Primary

Addresses

Primary practice location

6909 SW 18TH St Ste 202
Boca Raton, FL 33433-7078

Mailing address

6909 SW 18TH St Ste 202
Boca Raton, FL 33433-7078
Phone (561) 347-8382

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
I20130425000466 FL Practitioner - Emergency MedicinePractitioner - Pediatric Medicine 4880830595 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 1983
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Travel Doctor PLGroup PAC ID 2567686090, 42 clinicians
The Clinicians, LLCGroup PAC ID 7214154509, 51 clinicians

Practice addresses (Care Compare)

21301 Powerline Rd
Suite 106
Boca Raton, FL 33433-2389
Phone (866) 550-2212

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
45659FLMDPediatric Adolescent Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Travel Doctor, PL CurrentSince Mar 1, 2025 Accepting new patients
The Clinicians, LLC CurrentSince Mar 1, 2025 Accepting new patients
Boca del Mar Pediatric and Adolescent Center PA Adolescent Medicine Current Accepting new patients
Paragon Emergency Services LLC CurrentSince Jan 1, 2016 Accepting new patients
Florida Em-I Medical Services, PA Past Accepting new patients

Locations

21301 Powerline Rd
Ste 106
Boca Raton, FL 33433
Phone (866) 550-2212

3625 University Blvd S
Jacksonville, FL 32216
Phone (904) 333-9404

2001 Kingsley Ave
Orange Park, FL 32073
Phone (904) 215-7015

2626 Capital Medical Blvd
Tallahassee, FL 32308
Phone (850) 325-5000

10970 Cross Creek Blvd
Ste D
Tampa, FL 33647
Phone (813) 369-5969

Organizations & group practices 5

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": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424217600000",
    "number": "1508872318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6909 SW 18TH ST STE 202",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334337078",
            "telephone_number": "561-347-8382",
            "fax_number": "561-347-8487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6909 SW 18TH ST STE 202",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334337078",
            "telephone_number": "561-347-8382",
            "fax_number": "561-347-8487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAWEBLUM",
        "first_name": "YOSEF",
        "middle_name": "AARON",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-01",
        "last_updated": "2015-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "FL",
            "license": "45659",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

Verify at the official NPI Registry.