Individual provider Active NPI

Caitlin Arielle Sablotsky

  • Physician Assistant
  • Doral, FL
National Provider Identifier
1962020883
Registry record updated Jul 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
9113032 Issued in FL
Practice address
3650 NW 82ND Ave Ste 201
Doral, FL 33166-6662
Phone
(305) 537-7272
NPI assigned
Jul 7, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 7, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 9113032 FL Primary

Addresses

Primary practice location

3650 NW 82ND Ave Ste 201
Doral, FL 33166-6662

Mailing address

3339 Virginia St Apt 206
Miami, FL 33133-6028
Phone (305) 979-4701

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210507001328 FL Practitioner - Physician Assistant 3173932993 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Img Medical Group de PAGroup PAC ID 4789044348, 13 clinicians

Practice addresses (Care Compare)

137 S Compass Way
Dania Beach, FL 33004-2369
Phone (888) 760-4266

244 N Congress Ave
Boynton Beach, FL 33426-4212
Phone (888) 760-4266

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
9113032FLMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Holy Cross Hospital, Inc CurrentSince Apr 1, 2021 Accepting new patients
Holy Cross Hospital Inc CurrentSince Apr 1, 2021 Accepting new patients
Conviva Medical Center Management LLC PastSince Aug 1, 2024 Accepting new patients
Img Medical Group TX, P.a. Past Accepting new patients

Locations

1309 S Federal Hwy
#G
Ft Lauderdale, FL 33316
Phone (954) 463-4383

Organizations & group practices 5

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": "1594080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594080000000",
    "number": "1962020883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3339 VIRGINIA ST APT 206",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331336028",
            "telephone_number": "305-979-4701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3650 NW 82ND AVE STE 201",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331666662",
            "telephone_number": "305-537-7272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SABLOTSKY",
        "first_name": "CAITLIN",
        "middle_name": "ARIELLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-07",
        "last_updated": "2020-07-07",
        "certification_date": "2020-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "9113032",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Doral, FL

Sources for this page

Verify at the official NPI Registry.