Roberto Camacho

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

ME167058 Issued in FL

Practice address

1300 Medical Dr
Tallahassee, FL 32308-4646

Phone

(850) 216-0100

NPI assigned

Apr 2, 2018

Sex

Male

Sole proprietor

No

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.

• Tallahassee Memorial Healthcare Inc

  • General Acute Care Hospital
  • Tallahassee, FL
  • NPI 1437177664

  FL

  Medicare reassignment Care Compare group NPD
• CCSG, Inc.

  • Cardiovascular Disease Physician
  • Thomasville, GA
  • NPI 1295120145

  Cardiovascular Disease, GA

  Medicare reassignment Care Compare group NPD
• John D Archbold Memorial Hospital Inc

  • General Acute Care Hospital
  • Thomasville, GA
  • NPI 1194779702

  GA

  Medicare reassignment Care Compare group NPD
• Brooks County Hospital

  • Critical Access Hospital
  • Quitman, GA
  • NPI 1306890942

  GA

  Medicare reassignment NPD
• Grady General Hospital

  • General Acute Care Hospital
  • Cairo, GA
  • NPI 1013961507

  GA

  Medicare reassignment NPD
• Hospital Authority of Mitchell County

  • Critical Access Hospital
  • Camilla, GA
  • NPI 1700830247

  GA

  Medicare reassignment NPD
• Hospital Physician Services - Southeast Professional Corporation

  • Hospitalist Physician
  • Monroe, GA
  • NPI 1760410385

  AL

  Medicare reassignment NPD
• Tallahassee Memorial Healthcare Inc

  • Family Medicine Physician
  • Tallahassee, FL
  • NPI 1366293102

  Internal Medicine

  Care Compare group NPD
• Tallahassee Memorial Healthcare Inc

  • Home Health Agency
  • Tallahassee, FL
  • NPI 1174539522
  Care Compare group
• Tallahassee Memorial Healthcare Inc

  • Rural Health Clinic/Center
  • Crawfordville, FL
  • NPI 1285683045
  Care Compare group
• Tallahassee Memorial Healthcare Inc

  • Multi-Specialty Clinic/Center
  • Tallahassee, FL
  • NPI 1366811077
  Care Compare group
• Tallahassee Memorial Healthcare Inc

  • Rural Health Clinic/Center
  • Blountstown, FL
  • NPI 1437108271
  Care Compare group

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Jackson County Hospital District

  • General Acute Care Hospital
  • Marianna, FL
  • NPI 1538108725

  Hospital

  Care Compare affiliation
• Tallahassee Memorial Healthcare Inc

  • General Acute Care Hospital
  • Tallahassee, FL
  • NPI 1437177664

  Hospital

  Care Compare affiliation
• Colquitt Regional Medical Center

  • General Acute Care Hospital
  • Moultrie, GA
  • NPI 1912099094

  Hospital

  Care Compare affiliation
• Colquitt Regional Medical Center

  • Psychiatric Hospital Unit
  • Moultrie, GA
  • NPI 1982295036

  Hospital

  Care Compare affiliation
• Grady General Hospital

  • General Acute Care Hospital
  • Cairo, GA
  • NPI 1013961507

  Hospital

  Care Compare affiliation
• John D Archbold Memorial Hospital Inc

  • General Acute Care Hospital
  • Thomasville, GA
  • NPI 1194779702

  Hospital

  Care Compare affiliation
• John D. Archbold Memorial Hospital, Inc.

  • Rehabilitation Hospital Unit
  • Thomasville, GA
  • NPI 1104867738

  Hospital

  Care Compare affiliation

Specialty

Cardiovascular Disease (Cardiology)

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

CCSG, Inc 25 clinicians

Tallahassee Memorial Healthcare Inc 498 clinicians

John D Archbold Memorial Hospital Inc 58 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Archbold Memorial Hospital Hospital, Thomasville, GA, CCN 110038
• Tallahassee Memorial Healthcare Hospital, Tallahassee, FL, CCN 100135
• Grady General Hospital Hospital, Cairo, GA, CCN 110121
• Jackson Hospital Hospital, Marianna, FL, CCN 100142
• Colquitt Regional Medical Center Hospital, Moultrie, GA, CCN 110105

Medicare fee-for-service enrollment

Enrolled in AL, FL, GA3 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 3

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: rcamacho36907@tallahasseememorial.direct-ci.com
• Direct secure messaging: robertocamacho@tmhpp2.allscriptsdirect.net
• FHIR API: https://fhir-myrecord.cerner.com/r4/66097e3b-7cef-4b96-acca-38bfaae85903/

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 18, 2024.

{
    "created_epoch": "1522627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721260800000",
    "number": "1861998528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 MEDICAL DR",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323084646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 MEDICAL DR",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323084646",
            "telephone_number": "850-216-0100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMACHO",
        "first_name": "ROBERTO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-02",
        "last_updated": "2024-07-18",
        "certification_date": "2024-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME167058",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AL",
            "license": "MD.38839",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erin Callender, LMHC
• Earl Calloway Jr.
• Kylen Callum
• Karen D Calvert
• Jessica Camacho
• Saige Y Camacho
• Katia M Camargo
• Camelot Community Care, Inc
• Camelot Community Care, Inc
• Tatum Ashley Cameron, PT

• All providers in Tallahassee, FL
• Cardiovascular Disease Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2024; 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.