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Individual provider Active NPI

Gina Carolina Domingo Cabreja, M.D.

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • Plantation, FL
National Provider Identifier
1598262115
Registry record updated Jan 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Family Medicine) PhysicianTaxonomy code 207QH0002X
License
ME147267 Issued in FL
Practice address
1200 S Pine Island Rd Ste 350
Plantation, FL 33324-4409
Phone
(305) 223-2000
Fax
(305) 227-5556
NPI assigned
Apr 10, 2018
Last updated
Jan 4, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME147267 FL
Student in an Organized Health Care Education/Training Program 390200000X
Hospice and Palliative Medicine (Family Medicine) Physician 207QH0002X ME147267 FL Primary

Addresses

Primary practice location

1200 S Pine Island Rd Ste 350
Plantation, FL 33324-4409

Mailing address

6400 Shafer CT Ste 700
Rosemont, IL 60018-4989
Phone (346) 376-1702

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230123000626 FL Practitioner - Family Practice 5092186478 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Seasons Medical Group of Florida PAGroup PAC ID 0941451314, 44 clinicians

Practice addresses (Care Compare)

1815 Griffin Rd
Suite 410
Dania Beach, FL 33004-2252
Phone (954) 624-7900

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.26 of 100Reported as group
Quality
60.1
Improvement activities
40
Cost
80.67

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME147267FLMDHospice and Palliative Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Seasons Hospice & Palliative Care of Broward Florida LLC Family Medicine CurrentSince Aug 28, 2022 Accepting new patients
Seasons Medical Group of Florida PA Family Medicine CurrentSince Dec 11, 2022 Accepting new patients

Locations

1815 Griffin Rd
Ste 410
Dania Beach, FL 33004
Phone (954) 624-7900

11750 SW 40th St
Miami, FL 33175
Phone (305) 227-5544

5200 NE 2nd Ave
Miami, FL 33137
Phone (305) 762-1387

1200 S Pine Island Rd
Ste 350
Plantation, FL 33324
Phone (954) 624-7900

6400 Shafer Ct
Ste 700
Rosemont, IL 60018

Organizations & group practices 2

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.

Hospital & facility affiliations 3

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": "1523318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672790400000",
    "number": "1598262115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6400 SHAFER CT STE 700",
            "city": "ROSEMONT",
            "state": "IL",
            "postal_code": "600184989",
            "telephone_number": "346-376-1702",
            "fax_number": "224-532-2780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 S PINE ISLAND RD STE 350",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333244409",
            "telephone_number": "305-223-2000",
            "fax_number": "305-227-5556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOMINGO CABREJA",
        "first_name": "GINA",
        "middle_name": "CAROLINA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-10",
        "last_updated": "2023-01-04",
        "certification_date": "2023-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME147267",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207QH0002X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Hospice and Palliative Medicine",
            "state": "FL",
            "license": "ME147267",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plantation, FL

Sources for this page

Verify at the official NPI Registry.