Individual provider Active NPI

Antonio Gabriel Cabrera, M.D.

  • Pediatric Cardiology Physician
  • Columbus, OH
National Provider Identifier
1851328603
Registry record updated Sep 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Cardiology PhysicianTaxonomy code 2080P0202X
License
11443290-1205 Issued in UT
Practice address
700 Childrens Dr
Columbus, OH 43205-2664
Phone
(614) 722-2000
NPI assigned
Jun 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Cardiology Physician 2080P0202X 42961 TX
Pediatric Cardiology Physician 2080P0202X E-4510 AR
Pediatric Cardiology Physician 2080P0202X 35.150499 OH
Pediatric Cardiology Physician 2080P0202X 11443290-1205 UT Primary

Addresses

Primary practice location

700 Childrens Dr
Columbus, OH 43205-2664

Mailing address

700 Childrens Dr
Columbus, OH 43205-2664
Phone (614) 722-2000

Other practice location 1

81 N Mario Capecchi Dr
Salt Lake City, UT 84113-1125
Phone (801) 213-3599

Other practice location 2

536 S Trimble Rd
Mansfield, OH 44906-3418
Phone (614) 722-2000

Other practice location 3

1 Childrens Plz
Dayton, OH 45404-1815
Phone (614) 722-6200

Other practice location 4

335 Glessner Ave Fl 3
Mansfield, OH 44903-2269
Phone (614) 722-2555

Other practice location 5

7853 Pacer Dr
Delaware, OH 43015-7571
Phone (614) 722-2000

Other practice location 6

4439 State Route 159
Chillicothe, OH 45601-8207
Phone (614) 722-2000

Other practice location 7

11 John Lloyd Evans Memorial Dr
Nelsonville, OH 45764-2523
Phone (614) 722-6200

Other practice location 8

416 Front St
Marietta, OH 45750-2124
Phone (614) 722-6200

Other practice location 9

955 Bethesda Dr
Zanesville, OH 43701-1840
Phone (614) 722-6200

Other practice location 10

7901 Diley Rd
Canal Winchester, OH 43110-9612
Phone (614) 355-9050

Other practice location 11

1818 Chapel Dr
Findlay, OH 45840-1335
Phone (614) 722-6200

Other practice location 12

455 Executive Campus Dr
Westerville, OH 43082-8870
Phone (614) 722-2000

Other practice location 13

5665 Venture Dr
Dublin, OH 43017-2159
Phone (614) 722-2000

Other practice location 14

1069 Delaware Ave
Marion, OH 43302-1400
Phone (614) 722-6200

Other practice location 15

830 W High St
Lima, OH 45801-3971
Phone (614) 722-6200

Other practice location 16

716 Adair Ave
Zanesville, OH 43701-2843
Phone (614) 722-2000

Other practice location 17

26 Hospital Dr
Athens, OH 45701-2471
Phone (614) 722-2530

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ACABRERA361696@DIRECT.MED.UTAH.EDU Direct University of Utah

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT, OH2 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

Enrollment IDStateProvider typePAC IDDetails
I20191114000172 UT Practitioner - Pediatric Medicine 5092730044 Reassigns benefits to 4 organizations
I20240722000612 OH Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Pediatric Medicine 5092730044 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E-4510ARMDPediatric Cardiology Physician
42961TXMDPediatric Cardiology Physician
11443290-1205UTMDPediatric Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatric Academic Association, Inc. CurrentSince Jun 3, 2024 Accepting new patients
Ihc Health Services Inc Current Accepting new patients
University of Utah Pediatric Services CurrentSince Sep 11, 2019 Accepting new patients
University of Utah Pediatric Acuity Care CurrentSince Sep 11, 2019 Accepting new patients
Ihc Health Services, Inc. CurrentSince May 12, 2021 Accepting new patients
University of Utah Pediatric Services Current Accepting new patients
University of Utah Pediatric Acuity Care Current Accepting new patients
Nationwide Children'S Hospital CurrentSince Sep 16, 2024 Accepting new patients
Ihc Health Services Inc Current Accepting new patients
Ihc Health Services Inc CurrentSince May 12, 2021 Accepting new patients
Ihc Health Services Inc CurrentSince Dec 27, 2023 Accepting new patients
University of Utah Pediatric Acuity Care CurrentSince May 9, 2020 Accepting new patients
Nationwide Children'S Hospital CurrentSince Sep 16, 2024 Accepting new patients
Nationwide Children'S Hospital Past Accepting new patients

Locations (25 of 31)

Dept 781629
Detroit, MI 48278

26 Hospital Dr
Athens, OH 45701
Phone (614) 722-2530

7901 Diley Rd
Canal Winchester, OH 43110
Phone (614) 355-9050

4439 State Route 159
Chillicothe, OH 45601
Phone (740) 779-8728

Dept L289
Columbus, OH 43260

700 Childrens Dr
Columbus, OH 43205
Phone (614) 722-4411

1 Childrens Plz
Dayton, OH 45404
Phone (937) 641-3600

7853 Pacer Dr
Delaware, OH 43015
Phone (614) 355-7900

5665 Venture Dr
Dublin, OH 43017
Phone (614) 355-8480

1818 Chapel Dr
Findlay, OH 45840
Phone (419) 424-1055

830 W High St
Lima, OH 45801
Phone (419) 226-9694

536 S Trimble Rd
Mansfield, OH 44906
Phone (419) 528-3150

335 Glessner Ave
Fl 3
Mansfield, OH 44903

416 Front St
Marietta, OH 45750
Phone (740) 236-4131

1069 Delaware Ave
Marion, OH 43302
Phone (740) 223-3496

11 John Lloyd Evans Memorial Dr
Nelsonville, OH 45764
Phone (614) 367-1004

455 Executive Campus Dr
Westerville, OH 43082
Phone (614) 355-6100

955 Bethesda Dr
Zanesville, OH 43701
Phone (740) 454-0804

716 Adair Ave
Zanesville, OH 43701
Phone (740) 454-5239

700 S Highway 99
Ste 3
Fillmore, UT 84631
Phone (435) 743-5555

1400 N 500 E
North Logan, UT 84341
Phone (435) 716-1000

4403 Harrison Blvd
Ogden, UT 84403
Phone (801) 387-2800

395 W Cougar Blvd
Ste 704
Provo, UT 84604
Phone (801) 357-3242

5121 S Cottonwood St
Salt Lake Cty, UT 84107
Phone (801) 408-8998

400 C St
Salt Lake Cty, UT 84143
Phone (435) 688-4080

Interoperability endpoints

  • Direct secure messaging: acabrera361696@direct.med.utah.edu

Organizations & group practices 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1151366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725926400000",
    "number": "1851328603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 CHILDRENS DR",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432052664",
            "telephone_number": "614-722-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
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            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432052664",
            "telephone_number": "614-722-2000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "81 N Mario Capecchi Dr",
            "address_purpose": "LOCATION",
            "city": "Salt Lake City",
            "state": "UT",
            "postal_code": "841131125",
            "country_code": "US",
            "telephone_number": "801-213-3599",
            "fax_number": "801-213-7778",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "536 S Trimble Rd",
            "address_purpose": "LOCATION",
            "city": "Mansfield",
            "state": "OH",
            "postal_code": "449063418",
            "country_code": "US",
            "telephone_number": "614-722-2000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Childrens Plz",
            "address_purpose": "LOCATION",
            "city": "Dayton",
            "state": "OH",
            "postal_code": "454041815",
            "country_code": "US",
            "telephone_number": "614-722-6200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "335 Glessner Ave Fl 3",
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            "state": "OH",
            "postal_code": "449032269",
            "country_code": "US",
            "telephone_number": "614-722-2555",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7853 Pacer Dr",
            "address_purpose": "LOCATION",
            "city": "Delaware",
            "state": "OH",
            "postal_code": "430157571",
            "country_code": "US",
            "telephone_number": "614-722-2000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4439 State Route 159",
            "address_purpose": "LOCATION",
            "city": "Chillicothe",
            "state": "OH",
            "postal_code": "456018207",
            "country_code": "US",
            "telephone_number": "614-722-2000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11 John Lloyd Evans Memorial Dr",
            "address_purpose": "LOCATION",
            "city": "Nelsonville",
            "state": "OH",
            "postal_code": "457642523",
            "country_code": "US",
            "telephone_number": "614-722-6200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "416 Front St",
            "address_purpose": "LOCATION",
            "city": "Marietta",
            "state": "OH",
            "postal_code": "457502124",
            "country_code": "US",
            "telephone_number": "614-722-6200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "955 Bethesda Dr",
            "address_purpose": "LOCATION",
            "city": "Zanesville",
            "state": "OH",
            "postal_code": "437011840",
            "country_code": "US",
            "telephone_number": "614-722-6200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7901 Diley Rd",
            "address_purpose": "LOCATION",
            "city": "Canal Winchester",
            "state": "OH",
            "postal_code": "431109612",
            "country_code": "US",
            "telephone_number": "614-355-9050",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1818 Chapel Dr",
            "address_purpose": "LOCATION",
            "city": "Findlay",
            "state": "OH",
            "postal_code": "458401335",
            "country_code": "US",
            "telephone_number": "614-722-6200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "455 Executive Campus Dr",
            "address_purpose": "LOCATION",
            "city": "Westerville",
            "state": "OH",
            "postal_code": "430828870",
            "country_code": "US",
            "telephone_number": "614-722-2000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5665 Venture Dr",
            "address_purpose": "LOCATION",
            "city": "Dublin",
            "state": "OH",
            "postal_code": "430172159",
            "country_code": "US",
            "telephone_number": "614-722-2000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1069 Delaware Ave",
            "address_purpose": "LOCATION",
            "city": "Marion",
            "state": "OH",
            "postal_code": "433021400",
            "country_code": "US",
            "telephone_number": "614-722-6200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "830 W High St",
            "address_purpose": "LOCATION",
            "city": "Lima",
            "state": "OH",
            "postal_code": "458013971",
            "country_code": "US",
            "telephone_number": "614-722-6200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "716 Adair Ave",
            "address_purpose": "LOCATION",
            "city": "Zanesville",
            "state": "OH",
            "postal_code": "437012843",
            "country_code": "US",
            "telephone_number": "614-722-2000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "26 Hospital Dr",
            "address_purpose": "LOCATION",
            "city": "Athens",
            "state": "OH",
            "postal_code": "457012471",
            "country_code": "US",
            "telephone_number": "614-722-2530",
            "fax_number": "614-722-5995",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CABRERA",
        "first_name": "ANTONIO",
        "middle_name": "GABRIEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-27",
        "last_updated": "2024-09-10",
        "certification_date": "2024-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0202X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": "TX",
            "license": "42961",
            "primary": false
        },
        {
            "code": "2080P0202X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": "AR",
            "license": "E-4510",
            "primary": false
        },
        {
            "code": "2080P0202X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": "OH",
            "license": "35.150499",
            "primary": false
        },
        {
            "code": "2080P0202X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": "UT",
            "license": "11443290-1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ACABRERA361696@DIRECT.MED.UTAH.EDU",
            "affiliation": "Y",
            "affiliationName": "University of Utah",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "50 N Medical Dr",
            "city": "Salt Lake City",
            "state": "UT",
            "country_code": "US",
            "postal_code": "841320001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.