Ricardo Cabrera MD PLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

4301055315 Issued in MI

Legal business name

RICARDO CABRERA MD PLC

Practice address

7250 Dixie Hwy
Suite 100
Clarkston, MI 48346-5108

Phone

(248) 620-3500

Fax

(248) 620-3503

NPI assigned

Aug 5, 2007

Last updated

Jun 25, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Ricardo Q Cabrera, M.D.NPI 1801875943

Title

Owner

Phone

(248) 620-3500

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ricardo Q. Cabrera, M.D.

  • Family Medicine Physician
  • Clarkston, MI
  • NPI 1801875943
  Medicare reassignment NPD Authorized official
• Jeetender Singh Matharu, M.D.

  • Family Medicine Physician
  • Clarkston, MI
  • NPI 1255310397
  NPD

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

{
    "created_epoch": "1186272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624579200000",
    "number": "1962693242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7250 DIXIE HWY",
            "address_2": "SUITE 100",
            "city": "CLARKSTON",
            "state": "MI",
            "postal_code": "483465108",
            "telephone_number": "248-620-3500",
            "fax_number": "248-620-3503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7250 DIXIE HWY",
            "address_2": "SUITE 100",
            "city": "CLARKSTON",
            "state": "MI",
            "postal_code": "483465108",
            "telephone_number": "248-620-3500",
            "fax_number": "248-620-3503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICARDO CABRERA MD PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-05",
        "last_updated": "2021-06-25",
        "certification_date": "2021-06-25",
        "status": "A",
        "authorized_official_last_name": "CABRERA",
        "authorized_official_first_name": "RICARDO",
        "authorized_official_middle_name": "Q",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-620-3500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301055315",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4458109",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ricardocabrera@rcmdplc.allscriptsdirect.net",
            "affiliation": "N",
            "endpointDescription": "Ricardo Cabrera MD Direct Email Message",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "7250 Dixie Hwy",
            "address_2": "SUITE 100",
            "city": "Clarkston",
            "state": "MI",
            "country_code": "US",
            "postal_code": "483465108",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Family Medicine Physician in Clarkston, MI
• Providers in Clarkston, MI by specialty
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.