Active NPI
Ramon J Pabalan, MD
- Emergency Medicine Physician
- Cape Coral, FL
National Provider Identifier
1780629261
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- ME40952
- Practice address
- 636 Del Prado Blvd S
Emergency Department
Cape Coral, FL 33990-2668 - Phone
- (239) 772-6513
- Fax
- (239) 574-0269
- NPI assigned
- Jun 18, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | ME40952 | FL | Primary |
Addresses
Primary practice location
636 Del Prado Blvd S
Emergency Department
Cape Coral, FL 33990-2668
Mailing address
14050 NW 14TH St
Suite 190
Sunrise, FL 33323-2865
Phone (800) 424-3672
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 15841 | Other | FL | BCBS |
| 4049316 | Other | FL | AETNA |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lee Memorial Health System | Current | Accepting new patients | |
| Lee Memorial Health System | Current | Accepting new patients | |
| Palms of Pasadena Emergency Physicians LLC | Emergency Medicine | Past | Accepting new patients |
Locations
636 Del Prado Blvd S
Cape Coral, FL 33990
Phone (239) 332-5344
8931 Colonial Center Dr
Ste 401
Fort Myers, FL 33905
Phone (239) 424-2030
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.
-
- Internal Medicine Physician
- Fort Myers, FL
- NPI 1992873319
-
- Federally Qualified Health Center (FQHC)
- Port Charlotte, FL
- NPI 1255171765
-
- Emergency Medicine Physician
- South Pasadena, FL
- NPI 1164436341
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150588800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1208390400000",
"number": "1780629261",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14050 NW 14TH ST",
"address_2": "SUITE 190",
"city": "SUNRISE",
"state": "FL",
"postal_code": "333232865",
"telephone_number": "800-424-3672",
"fax_number": "954-377-3042"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "636 DEL PRADO BLVD S",
"address_2": "EMERGENCY DEPARTMENT",
"city": "CAPE CORAL",
"state": "FL",
"postal_code": "339902668",
"telephone_number": "239-772-6513",
"fax_number": "239-574-0269"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PABALAN",
"first_name": "RAMON",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-18",
"last_updated": "2008-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "FL",
"license": "ME40952",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "15841",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4049316",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cape Coral, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2008; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.