Juan-Carlos Caballero, MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

0101242722 Issued in VA

Practice address

28 Blackwell Park LN
Suite 302
Warrenton, VA 20186-2685

Phone

(540) 341-1900

Fax

(540) 341-0940

NPI assigned

Mar 28, 2008

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

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in VA

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

Specialty

Dermatology

Education

Howard University College of Medicine, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Warrenton Dermatology PCGroup PAC ID 3476519166, 5 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

93.87 of 100Reported as group

Quality

94.09

Promoting interoperability

92

Improvement activities

40

Cost

92.14

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Physician Assistant

State licenses

Practice roles

Locations

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.

• Warrenton Dermatology PC

  • Dermatology Physician
  • Warrenton, VA
  • NPI 1396778205
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1206662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284508800000",
    "number": "1801068937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 BLACKWELL PARK LN",
            "address_2": "SUITE 302",
            "city": "WARRENTON",
            "state": "VA",
            "postal_code": "201862685",
            "telephone_number": "540-341-1900",
            "fax_number": "540-341-0940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 BLACKWELL PARK LN",
            "address_2": "SUITE 302",
            "city": "WARRENTON",
            "state": "VA",
            "postal_code": "201862685",
            "telephone_number": "540-341-1900",
            "fax_number": "540-341-0940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CABALLERO",
        "first_name": "JUAN-CARLOS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-03-28",
        "last_updated": "2010-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "VA",
            "license": "0101242722",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1801068937",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LIC #",
            "identifier": "0101242722",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Margaret Burns, CCC-SLP
• Robert Burrus, PA
• Traci Malia Busker, DPT
• Paul Reha Butros, MD
• Lisa Marie Butterfield, OD
• Christen A Cain, PHARMD
• Rebecca A Calderwood
• Heidi Fike Calladine, OD
• Gwen S Callahan, PA C
• Heather Renee Callahan, PA-C

• Dermatology Physician in Warrenton, VA
• Providers in Warrenton, VA by specialty
• Dermatology Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2010; 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.