Individual provider Active NPI

Elvis Radhames Caraballo Antonio, MD

  • Internal Medicine Physician
  • Wellington, FL
National Provider Identifier
1609516426
Registry record updated Dec 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME170326 Issued in FL
Practice address
10330 Nuvista Ave
Wellington, FL 33414-9365
Phone
(872) 231-3162
NPI assigned
Mar 30, 2022
Last updated
Dec 31, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 31, 2025

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 ME170326 FL Primary

Addresses

Primary practice location

10330 Nuvista Ave
Wellington, FL 33414-9365

Mailing address

PO Box 734951
Chicago, IL 60673-4951
Phone (702) 899-0595

Other practice location 1

674 Pioneer Rd
Jupiter, FL 33458-9011
Phone (872) 231-3162

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
I20250612000397 FL Practitioner - General PracticePractitioner - Internal Medicine 7214375047 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hospital Medicine Services of FL, LLCGroup PAC ID 9234596743, 513 clinicians
Miami Interventional Spine IncGroup PAC ID 5395272959, 2 clinicians

Practice addresses (Care Compare)

13655 Pasteur Blvd
Palm Beach Gardens, FL 33418-7392
Phone 5617661300501

1700 S 23Rd St
Lawnwood Regional Medical Center
Fort Pierce, FL 34950-4899
Phone (772) 461-4000

7910 NW 25TH St
Suite 209
Doral, FL 33122-1622
Phone (305) 392-0229

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Fernandez Medical Group LLC CurrentSince Jul 16, 2025 Accepting new patients
Radial Health Southeast LLC Internal Medicine CurrentSince Aug 23, 2025 Accepting new patients
Loving Care Medical Clinic LLC CurrentSince Sep 28, 2025 Accepting new patients
All Care Medical Inc CurrentSince Dec 11, 2025 Accepting new patients
Hospital Medicine Services of FL, LLC CurrentSince Aug 1, 2025 Accepting new patients
Miami Interventional Spine Inc CurrentSince Aug 5, 2025 Accepting new patients
Holly Medical Clinic LLC CurrentSince Sep 1, 2025 Accepting new patients

Locations

1700 S 23rd St
Fort Pierce, FL 34950
Phone (772) 461-4000

7600 W 20th Ave
Ste 224
Hialeah, FL 33016
Phone (305) 202-4655

674 Pioneer Rd
Jupiter, FL 33458
Phone (561) 485-0070

340 NW Commerce Dr
Lake City, FL 32055
Phone (386) 719-9000

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

20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290

5084 NW 74th Ave
Miami, FL 33166
Phone (786) 907-4942

7910 NW 25th St
Ste 209
Miami, FL 33122
Phone (305) 392-0229

959 SW 122nd Ave
Miami, FL 33184
Phone (786) 390-9291

7300 Oleander Ave
Port St Lucie, FL 34952
Phone (772) 464-5911

10330 Nuvista Ave
Wellington, FL 33414
Phone (561) 598-5419

2001 Palm Beach Lakes Blvd
Ste 208
West Palm Beach, FL 33409
Phone (561) 603-0802

2939 S Haverhill Rd
West Palm Beach, FL 33415
Phone (561) 641-3130

Interoperability endpoints

  • Direct secure messaging: elvis.caraballoantonio@hca4.eclinicaldirectplus.com

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

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": "1648598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767139200000",
    "number": "1609516426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 734951",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606734951",
            "telephone_number": "702-899-0595",
            "fax_number": "702-977-1496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10330 NUVISTA AVE",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334149365",
            "telephone_number": "872-231-3162"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "674 PIONEER RD",
            "address_purpose": "LOCATION",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334589011",
            "country_code": "US",
            "telephone_number": "872-231-3162",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARABALLO ANTONIO",
        "first_name": "ELVIS",
        "middle_name": "RADHAMES",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-03-30",
        "last_updated": "2025-12-31",
        "certification_date": "2025-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME170326",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wellington, FL

Sources for this page

Verify at the official NPI Registry.