Active NPI
Junell Carol Koberlein, MD
- Family Medicine Physician
- New Port Richey, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 2014-01439
- Practice address
- 6804 Cecelia Drive
New Port Richey, FL 34653-4935 - Phone
- (855) 232-0644
- Fax
- (888) 546-0488
- NPI assigned
- Jul 10, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 4301092909 | MI | |
| Family Medicine Physician | 207Q00000X | ME165510 | FL | |
| Family Medicine Physician | 207Q00000X | 2014-01439 | NC | Primary |
Addresses
Primary practice location
6804 Cecelia Drive
New Port Richey, FL 34653-4935
Mailing address
6804 Cecelia Drive
New Port Richey, FL 34653-4935
Phone (855) 232-0644
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
New Port Richey, FL 34653
Phone (727) 232-0644
Hospital & facility affiliations
- Enhabit Home Health
- Trilogy Home Healthcare
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME165510 | FL | MD | Family Medicine Physician |
| 2014-01439 | NC | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Moses Cone Medical Services, Inc. | Family Medicine | Current | Accepting new patients |
| Mobile Physician Services Inc. | Current | Accepting new patients | |
| Moses Cone Medical Services, Inc. | Family Medicine | Current | Accepting new patients |
| Careconnectmd Florida P.a. | Current | Accepting new patients |
Locations
3090 Bristol St
Ste 200
Costa Mesa, CA 92626
Phone (714) 992-1182
6804 Cecelia Dr
New Prt Rchy, FL 34653
Phone (727) 232-0644
300 E Wendover Ave
Greensboro, NC 27401
Phone (336) 663-5205
1126 N Church St
Ste 300
Greensboro, NC 27401
Phone (336) 547-1700
3803 Robert Porcher Way
Greensboro, NC 27410
Phone (336) 286-3442
940 Golf House Ct E
Whitsett, NC 27377
Phone (336) 449-9848
Interoperability endpoints
- junell.koberlein.1@29651.direct.athenahealth.com
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.
-
- Internal Medicine Physician
- New Port Richey, FL
- NPI 1003002759
-
- Geriatric Medicine (Internal Medicine) Physician
- Jacksonville, FL
- NPI 1912632886
-
- Internal Medicine Physician
- Greensboro, NC
- NPI 1427095249
Family Medicine
-
- Adult Health Nurse Practitioner
- New Port Richey, FL
- NPI 1255179743
-
- Family Medicine Physician
- Madison, NC
- NPI 1629376363
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Orlando, FL
- NPI 1477969020
-
- Home Health Agency
- Orlando, FL
- NPI 1306183751
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1215648000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721779200000",
"number": "1982868865",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6804 CECELIA DRIVE",
"city": "NEW PORT RICHEY",
"state": "FL",
"postal_code": "346534935",
"telephone_number": "855-232-0644",
"fax_number": "888-546-0488"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6804 CECELIA DRIVE",
"city": "NEW PORT RICHEY",
"state": "FL",
"postal_code": "346534935",
"telephone_number": "855-232-0644",
"fax_number": "888-546-0488"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOBERLEIN",
"first_name": "JUNELL",
"middle_name": "CAROL",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-07-10",
"last_updated": "2024-07-24",
"certification_date": "2024-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MI",
"license": "4301092909",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "ME165510",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NC",
"license": "2014-01439",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Port Richey, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 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.