Individual provider Active NPI

Vito Jimmy Carabetta, MD

  • Physical Medicine & Rehabilitation Physician
  • Olathe, KS
National Provider Identifier
1780678425
Registry record updated Nov 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
23314 Issued in KS
Practice address
20670 West 151St Street
Suite 101
Olathe, KS 66061-7239
Phone
(913) 829-2525
Fax
(913) 829-1748
NPI assigned
Sep 8, 2005
Last updated
Nov 16, 2009By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 16, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 23314 KS Primary

Addresses

Primary practice location

20670 West 151St Street
Suite 101
Olathe, KS 66061-7239

Mailing address

20670 West 151St Street
Suite 101
Olathe, KS 66061-7239
Phone (913) 829-2525

Other identifiers 1

IdentifierTypeStateIssuer
100104610DMedicaidKS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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
I20091029000027 KS Practitioner - Physical Medicine and Rehabilitation 2365589033 Practice locations: Olathe, KS

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
University of Southern California Keck School of Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

20670 W 151St St
Suite 101
Olathe, KS 66061-7239
Phone (913) 829-2525

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
23314KSMDPhysical Medicine & Rehabilitation Physician

Interoperability endpoints

  • Direct secure messaging: carabetta.vito.002.0160004@vjc.meditab.direct-ci.com
  • Direct secure messaging: vcarabetta755542@direct.kuha.org

NPI Registry JSON

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

{
    "created_epoch": "1126137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1258329600000",
    "number": "1780678425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20670 WEST 151ST STREET",
            "address_2": "SUITE 101",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660617239",
            "telephone_number": "913-829-2525",
            "fax_number": "913-829-1748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20670 WEST 151ST STREET",
            "address_2": "SUITE 101",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660617239",
            "telephone_number": "913-829-2525",
            "fax_number": "913-829-1748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARABETTA",
        "first_name": "VITO",
        "middle_name": "JIMMY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-08",
        "last_updated": "2009-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "KS",
            "license": "23314",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100104610D",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Olathe, KS

Sources for this page

Verify at the official NPI Registry.