Active NPI
Ramon Luis Caballero, MD
- Urology Physician
- Lexington, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 32238
- Practice address
- 1101 Veterans Dr
Lexington, KY 40502-2235 - Phone
- (859) 233-4511
- NPI assigned
- Oct 12, 2006
- Last updated
- Mar 10, 2022
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Urology Physician | 208800000X | 32238 | KY | Primary |
Addresses
Primary practice location
1101 Veterans Dr
Lexington, KY 40502-2235
Mailing address
PO Box 69
1138 Lexington Road Suite 110
Georgetown, KY 40324
Phone (502) 868-7666
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6432231 | Medicaid | KY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA, MS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Urology
- Education
- Perelman School of Med at the University of Pennsylvania, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2100 Hwy 61 N
Vicksburg, MS 39183-8211
Phone (601) 883-5000
2200 Hwy 61 N
Vicksburg, MS 39183-8246
348 Crossgates Blvd
Suite 1200
Brandon, MS 39042-2701
Phone (601) 883-6092
350 Crossgates Blvd
Brandon, MS 39042-2601
Phone (601) 883-6092
46 SGT Prentiss Dr
Natchez, MS 39120-4792
Phone (601) 883-5858
54 Sergeant Prentiss Dr
Natchez, MS 39120-4726
Phone (601) 883-5858
54 SGT Prentiss Dr
Suite 103
Natchez, MS 39120-4726
Phone (601) 883-5858
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.07 of 100
- Quality
- 73.89
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Hernia repair - groin (open) | 1-10 |
| Prostate resection | 33 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 32238 | KY | MD | Urology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hospital Authority of Valdosta and Lowndes County Georgia | Current | Accepting new patients | |
| Hospital Authority of Valdosta and Lowndes County Georgia | Current | Accepting new patients | |
| Hospital Authority of Valdosta and Lowndes County, Georgia | Current | Accepting new patients | |
| Vicksburg Clinic LLC | Current | Accepting new patients | |
| Vicksburg Clinic LLC | Urology | Past | Accepting new patients |
| Vicksburg Clinic LLC | Urology | Past | Accepting new patients |
Locations
2501 N Patterson St
Valdosta, GA 31602
Phone (229) 259-4139
54 Sgt Prentiss Dr
Natchez, MS 39120
Phone (601) 443-2100
104 McAuley Dr
Vicksburg, MS 39183
Phone (601) 638-7271
Interoperability endpoints
- ramon.caballero.1@1475.direct.athenahealth.com
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- Vicksburg, MS
- NPI 1790711158
-
dba South Georgia Medical Center
- General Acute Care Hospital
- Valdosta, GA
- NPI 1306896253
-
dba Greenleaf Center
- Psychiatric Hospital Unit
- Valdosta, GA
- NPI 1033160791
-
dba South Georgia Medical Center
- Rehabilitation Hospital Unit
- Valdosta, GA
- NPI 1467404046
-
- Ambulance
- Valdosta, GA
- NPI 1558141671
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Merit Health River Oaks
- General Acute Care Hospital
- Flowood, MS
- NPI 1396792032
-
dba Merit Health River Region
- General Acute Care Hospital
- Vicksburg, MS
- NPI 1215981303
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1646870400000",
"number": "1851480453",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 69",
"address_2": "1138 LEXINGTON ROAD SUITE 110",
"city": "GEORGETOWN",
"state": "KY",
"postal_code": "40324",
"telephone_number": "502-868-7666",
"fax_number": "502-868-8060"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1101 VETERANS DR",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405022235",
"telephone_number": "859-233-4511"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CABALLERO",
"first_name": "RAMON",
"middle_name": "LUIS",
"name_prefix": "Mr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-12",
"last_updated": "2022-03-10",
"certification_date": "2022-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "KY",
"license": "32238",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6432231",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lexington, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2022; 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.