Individual provider Active NPI

Neal Herbert Segovia Cabaluna, M.D.

  • Internal Medicine Physician
  • Prescott, AZ
National Provider Identifier
1871857359
Registry record updated Jun 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
50274 Issued in AZ
Practice address
3773 Crossings Dr Ste C
Prescott, AZ 86305
Phone
(928) 277-8316
Fax
(928) 277-4849
NPI assigned
Jun 28, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 21, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 50274 AZ Primary

Addresses

Primary practice location

3773 Crossings Dr Ste C
Prescott, AZ 86305

Mailing address

2001 Excellence Way Ste 200
Prescott, AZ 86301-8410
Phone (928) 460-7260

Other practice location 1

13175 E State Route 169
Dewey, AZ 86327-7416
Phone (928) 632-1155

Other practice location 2

3773 Crossings Dr Ste A
Prescott, AZ 86305
Phone (928) 277-8316

Other practice location 3

3773 Crossings Dr Ste A
Prescott, AZ 86305
Phone (928) 277-8316

Other practice location 4

3773 Crossings Dr Ste A
Prescott, AZ 86305
Phone (928) 277-8316

Other practice location 5

3773 Crossings Dr Ste C
Prescott, AZ 86305-7140
Phone (928) 277-8316

Other practice location 6

2001 Excellence Way Ste 200
Prescott, AZ 86301-8410
Phone (928) 460-7260

Other practice location 7

2001 Excellence Way Ste 200
Prescott, AZ 86301-8410
Phone (928) 460-7260

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20151103001896 AZ Practitioner - Internal Medicine 8224251590 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2001 Excellence Way
Suite 200
Prescott, AZ 86301-8410
Phone (480) 985-1093

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
50274AZMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cabaluna Medical PLLC Internal Medicine CurrentSince Sep 1, 2020 Accepting new patients
Mikrut Physical Therapy LLC Past Accepting new patients

Locations

2001 Excellence Way
Ste 200
Prescott, AZ 86301
Phone (928) 445-3055

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GGGBCD
  • FHIR API: https://fhir4.healow.com/fhir/r4/GGGBCD/Endpoint/GGGBCD
  • Direct secure messaging: nealcabaluna@agmc.ssdirect.aprima.com

Organizations & group practices 2

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1340841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624233600000",
    "number": "1871857359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 EXCELLENCE WAY STE 200",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863018410",
            "telephone_number": "928-460-7260",
            "fax_number": "928-227-0255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3773 CROSSINGS DR STE C",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "86305",
            "telephone_number": "928-277-8316",
            "fax_number": "928-277-4849"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13175 E State Route 169",
            "address_purpose": "LOCATION",
            "city": "Dewey",
            "state": "AZ",
            "postal_code": "863277416",
            "country_code": "US",
            "telephone_number": "928-632-1155",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3773 Crossings Dr Ste A",
            "address_purpose": "LOCATION",
            "city": "Prescott",
            "state": "AZ",
            "postal_code": "86305",
            "country_code": "US",
            "telephone_number": "928-277-8316",
            "fax_number": "928-277-4849",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3773 Crossings Dr Ste A",
            "address_purpose": "LOCATION",
            "city": "Prescott",
            "state": "AZ",
            "postal_code": "86305",
            "country_code": "US",
            "telephone_number": "928-277-8316",
            "fax_number": "928-277-4849",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3773 Crossings Dr Ste A",
            "address_purpose": "LOCATION",
            "city": "Prescott",
            "state": "AZ",
            "postal_code": "86305",
            "country_code": "US",
            "telephone_number": "928-277-8316",
            "fax_number": "928-277-4849",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3773 Crossings Dr Ste C",
            "address_purpose": "LOCATION",
            "city": "Prescott",
            "state": "AZ",
            "postal_code": "863057140",
            "country_code": "US",
            "telephone_number": "928-277-8316",
            "fax_number": "928-277-4849",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2001 Excellence Way Ste 200",
            "address_purpose": "LOCATION",
            "city": "Prescott",
            "state": "AZ",
            "postal_code": "863018410",
            "country_code": "US",
            "telephone_number": "928-460-7260",
            "fax_number": "928-227-0255",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2001 Excellence Way Ste 200",
            "address_purpose": "LOCATION",
            "city": "Prescott",
            "state": "AZ",
            "postal_code": "863018410",
            "country_code": "US",
            "telephone_number": "928-460-7260",
            "fax_number": "928-227-0255",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CABALUNA",
        "first_name": "NEAL HERBERT",
        "middle_name": "SEGOVIA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-06-28",
        "last_updated": "2021-06-21",
        "certification_date": "2021-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "50274",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prescott, AZ

Sources for this page

Verify at the official NPI Registry.