Luis Bienvenido Caraballo Antonio, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

25229 Issued in NH

Practice address

333 Borthwick Ave
Portsmouth, NH 03801-7128

Phone

(603) 436-5110

NPI assigned

Mar 30, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NH, FL2 enrollments

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 2

Specialty

Internal Medicine

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hospital Medicine Services of FL, LLCGroup PAC ID 9234596743, 513 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Portsmouth Regional Hospital Hospital, Portsmouth, NH, CCN 300029
• HCA Florida Lake City Hospital Hospital, Lake City, FL, CCN 100156
• HCA Florida North Florida Hospital Hospital, Gainesville, FL, CCN 100204

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

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

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 Medicine Services of FL, LLC

  • Hospitalist Physician
  • Aventura, FL
  • NPI 1710684857

  FL

  Medicare reassignment Care Compare group NPD
• Hospital Medicine Services of NH, LLC

  • Hospitalist Physician
  • Derry, NH
  • NPI 1548967607

  NH

  Medicare reassignment NPD
• HCA Health Services of New Hampshire Inc

  • General Acute Care Hospital
  • Portsmouth, NH
  • NPI 1518913607
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• HCA Health Services of New Hampshire Inc

  • General Acute Care Hospital
  • Portsmouth, NH
  • NPI 1518913607

  Hospital

  Care Compare affiliation
• North Florida Regional Medical Center, Inc.

  • General Acute Care Hospital
  • Gainesville, FL
  • NPI 1174579155

  Hospital

  Care Compare affiliation
• Notami Hospitals of Florida Inc

  • General Acute Care Hospital
  • Lake City, FL
  • NPI 1992751879

  Hospital

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1553904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728777600000",
    "number": "1780145763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 BORTHWICK AVE",
            "city": "PORTSMOUTH",
            "state": "NH",
            "postal_code": "038017128",
            "telephone_number": "603-436-5110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 BORTHWICK AVE",
            "city": "PORTSMOUTH",
            "state": "NH",
            "postal_code": "038017128",
            "telephone_number": "603-436-5110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARABALLO ANTONIO",
        "first_name": "LUIS",
        "middle_name": "BIENVENIDO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-30",
        "last_updated": "2024-10-13",
        "certification_date": "2024-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NH",
            "license": "25229",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Catherine M Cantwell
• Brian Richard Canty
• Cape Medical Supply LLC
• Connor Capobianco, DDS
• Jill Capobianco, ARNP
• Erin Carberry
• Kim-Mary Ann Cardinal
• Carol a. Murray, Licsw, LLC
• John Caroselli
• Kristin Carpenter

• All providers in Portsmouth, NH
• Internal Medicine Physician in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.