Individual provider Active NPI

Alejandro A Caballero, MD

  • Interventional Cardiology Physician
  • Tavares, FL
National Provider Identifier
1669403259
Registry record updated Dec 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
ME60669 Issued in FL
Practice address
1879 Nightingale LN # LN2
Tavares, FL 32778-4363
Phone
(352) 742-1171
Fax
(352) 742-7241
NPI assigned
Jul 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X ME60669 FL
Interventional Cardiology Physician 207RI0011X ME60669 FL Primary

Addresses

Primary practice location

1879 Nightingale LN # LN2
Tavares, FL 32778-4363

Mailing address

1879 Nightingale LN Ste B2
Tavares, FL 32778-4363
Phone (352) 742-1171

Other identifiers 1

IdentifierTypeStateIssuer
253004000MedicaidFL

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
I20100304000518 FL Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Other (Physician) 5890830731 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Villages Regional Hospital Physician Services LLCGroup PAC ID 0244688893, 198 clinicians
Citrus Cardiology Consultants, PLLCGroup PAC ID 6103710835, 48 clinicians

Practice addresses (Care Compare)

10435 SE 170TH PL
Summerfield, FL 34491-8998
Phone (352) 255-3615

600 E Dixie Ave
Leesburg, FL 34748-5925

910 Old Camp Rd
Suite 210
The Villages, FL 32162-5605
Phone (352) 751-3356

Hospital & facility affiliations

  • Uf Health Leesburg Hospital Hospital, Leesburg, FL, CCN 100084
  • Adventhealth Waterman Hospital, Tavares, FL, CCN 100057

Merit-based Incentive Payment System (MIPS)

Final score
47.54 of 100Reported as apm
Quality
38.49
Promoting interoperability
0
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting1-10
Varicose vein removal1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Clinical Practice Association Inc CurrentSince Sep 1, 2023 Accepting new patients
Citrus Cardiology Consultants, PLLC CurrentSince Jun 1, 2025 Accepting new patients
Florida Clinical Practice Association Inc CurrentSince Sep 1, 2023 Accepting new patients
Citrus Cardiology Consultants, PLLC Cardiovascular Disease CurrentSince Jun 1, 2025 Accepting new patients
Villages Regional Hospital Physician Services LLC Cardiovascular Disease CurrentSince Jan 1, 2024 Accepting new patients

Locations

2001 SW 13th St
Gainesville, FL 32608
Phone (352) 265-8990

1600 SW Archer Rd
Gainesville, FL 32610
Phone (352) 265-0077

308 W Highland Blvd
Inverness, FL 34452
Phone (352) 726-8353

801 E Dixie Ave
Ste 107
Leesburg, FL 34748
Phone (352) 315-0627

10435 SE 170th Pl
Summerfield, FL 34491
Phone (352) 245-7788

1879 Nightingale Ln
Ste B2
Tavares, FL 32778
Phone (352) 253-0168

910 Old Camp Rd
Ste 210
The Villages, FL 32162
Phone (352) 530-2256

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: acaballero625707@direct.shands.ufl.edu
  • FHIR API: https://fhir4.healow.com/fhir/r4/EHGIAD

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 and National Provider Directory roles.

Hospital & facility affiliations 4

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": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734393600000",
    "number": "1669403259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1879 NIGHTINGALE LN STE B2",
            "city": "TAVARES",
            "state": "FL",
            "postal_code": "327784363",
            "telephone_number": "352-742-1171",
            "fax_number": "352-742-7241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1879 NIGHTINGALE LN # LN2",
            "city": "TAVARES",
            "state": "FL",
            "postal_code": "327784363",
            "telephone_number": "352-742-1171",
            "fax_number": "352-742-7241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CABALLERO",
        "first_name": "ALEJANDRO",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-05",
        "last_updated": "2024-12-17",
        "certification_date": "2024-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME60669",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "FL",
            "license": "ME60669",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "253004000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tavares, FL

Sources for this page

Verify at the official NPI Registry.