Individual provider Active NPI

Valentina Bradley Kalbaugh, MD

  • MOHS-Micrographic Surgery Physician
  • Ocala, FL
National Provider Identifier
1902898083
Registry record updated Jul 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X
License
ME94814 Issued in FL
Practice address
2121 SW 22ND PL
Ocala, FL 34471-7766
Phone
(352) 237-4133
Fax
(352) 237-7728
NPI assigned
Aug 16, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
MOHS-Micrographic Surgery Physician 207ND0101X ME94814 FL Primary

Addresses

Primary practice location

2121 SW 22ND PL
Ocala, FL 34471-7766

Mailing address

2230 SW 19TH Avenue Rd
Ocala, FL 34471-1391
Phone (352) 237-4133

Other names 1

  • Ms. Valentina Bradley Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20060314000280 FL Practitioner - Dermatology 0749297976 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Harvard Medical School, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ocala Family Medical Center IncGroup PAC ID 6608865290, 60 clinicians

Practice addresses (Care Compare)

2121 SW 22ND PL
Ocala, FL 34471-7766
Phone (352) 237-4133

Merit-based Incentive Payment System (MIPS)

Final score
82.76 of 100Reported as group
Quality
82.62
Promoting interoperability
77
Improvement activities
40
Cost
79.06

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision81
Removal of skin lesions939
Removal of skin cancer164
Removal or shaving of skin growth15
Skin biopsy245

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME94814FLMDMOHS-Micrographic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ocala Family Medical Center, Inc. Mohs-Micrographic Surgery CurrentSince Feb 21, 2020 Accepting new patients
Mason Dermatology Center Inc Dermatology Past Accepting new patients

Locations

2230 SW 19th Avenue Rd
Ocala, FL 34471
Phone (352) 237-4133

2121 SW 22nd Pl
Ocala, FL 34471
Phone (352) 237-4133

Interoperability endpoints

  • Direct secure messaging: valentina.kalbaugh@ocalafmc.directbygreenway.com
  • Direct secure messaging: chanell@drbradley.providersdirect.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.

NPI Registry JSON

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

{
    "created_epoch": "1124150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596067200000",
    "number": "1902898083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2230 SW 19TH AVENUE RD",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344711391",
            "telephone_number": "352-237-4133",
            "fax_number": "352-237-7728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 SW 22ND PL",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344717766",
            "telephone_number": "352-237-4133",
            "fax_number": "352-237-7728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADLEY KALBAUGH",
        "first_name": "VALENTINA",
        "name_prefix": "Ms.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-16",
        "last_updated": "2020-07-30",
        "certification_date": "2020-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "FL",
            "license": "ME94814",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VALENTINA",
            "last_name": "BRADLEY",
            "prefix": "MS.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Ocala, FL

Sources for this page

Verify at the official NPI Registry.