Individual provider Active NPI

Yubelkis Veronica Tinoco, MD

  • Family Medicine Physician
  • Stuart, FL
National Provider Identifier
1700032448
Registry record updated Oct 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME107448 Issued in FL
Practice address
3801 S Kanner Hwy Ste 300
Stuart, FL 34994-4801
Phone
(772) 223-4999
Fax
(772) 223-4949
NPI assigned
Aug 13, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 036.122946 IL
Family Medicine Physician 207Q00000X ME107448 FL Primary

Addresses

Primary practice location

3801 S Kanner Hwy Ste 300
Stuart, FL 34994-4801

Mailing address

PO Box 417
Stuart, FL 34995-0417
Phone (772) 223-5665

Other identifiers 1

IdentifierTypeStateIssuer
003116800MedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ytinoco3629@direct.martinhealth.org

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
I20101102000722 FL Practitioner - Family Practice 0547454779 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

3801 S Kanner Hwy
Suite 300
Stuart, FL 34994
Phone (772) 223-4999

Hospital & facility affiliations

  • Visiting Nurse Association of Florida Inc Home health agency, Stuart, FL, CCN 107177
  • Concierge Home Care Home health agency, Port Saint Lucie, FL, CCN 687163
  • Trilogy Home Healthcare Home health agency, Port Saint Lucie, FL, CCN 109270
  • Cleveland Clinic Martin North Hospital Hospital, Stuart, FL, CCN 100044
  • Cleveland Clinic Hospital, Cleveland, OH, CCN 360180

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME107448FLMDFamily Medicine Physician
036.122946ILMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Martin Memorial Medical Center Inc Current Accepting new patients
Euclid Hospital Cleveland Clinic Health System Current Accepting new patients
Raulerson Primary Care LLC PastSince Nov 16, 2015 Accepting new patients

Locations

200 SE Hospital Ave
Stuart, FL 34994
Phone (772) 223-5618

509 SE Riverside Dr
Ste 305
Stuart, FL 34994
Phone (772) 221-2003

3801 S Kanner Hwy
Fl 3
Stuart, FL 34994
Phone (772) 223-4999

3801 S Kanner Hwy
Ste 300
Stuart, FL 34994
Phone (772) 223-4978

6801 Brecksville Rd
Ste 20
Seven Hills, OH 44131
Phone (216) 445-3363

Interoperability endpoints

  • Direct secure messaging: ytinoco2500897@direct.ccf.org

Organizations & group practices 3

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": "1218585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602547200000",
    "number": "1700032448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 417",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349950417",
            "telephone_number": "772-223-5665",
            "fax_number": "772-223-5646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 S KANNER HWY STE 300",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349944801",
            "telephone_number": "772-223-4999",
            "fax_number": "772-223-4949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TINOCO",
        "first_name": "YUBELKIS",
        "middle_name": "VERONICA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-13",
        "last_updated": "2020-10-13",
        "certification_date": "2020-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036.122946",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME107448",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003116800",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ytinoco3629@direct.martinhealth.org",
            "affiliation": "N",
            "address_1": "3801 S Kanner Hwy Ste 300",
            "city": "Stuart",
            "state": "FL",
            "country_code": "US",
            "postal_code": "349944801",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Stuart, FL

Sources for this page

Verify at the official NPI Registry.