Raul Enrique Carballosa, M.D.

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

ME47929 Issued in FL

Practice address

9970 Central Park Blvd N
Suite 207
Boca Raton, FL 33428-2231

Phone

(561) 482-1027

Fax

(561) 482-1028

NPI assigned

Jul 25, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Specialty

Neurology

Education

Other, 1982

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Serenity Wellness Institute Corp.Group PAC ID 7214342062, 4 clinicians

Sunset Neurological Group LLCGroup PAC ID 9638463920, 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Larkin Community Hospital Hospital, South Miami, FL, CCN 100181

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Serenity Wellness Institute Corp.

  • Psychiatry Physician
  • Miami, FL
  • NPI 1881246395
  Medicare reassignment Care Compare group NPD
• Sunset Neurological Group LLC

  • Psychiatry Physician
  • Miami, FL
  • NPI 1821412578

  Specialist

  Medicare reassignment Care Compare group NPD
• Neurology Mobile System Associates,Inc

  • Clinic/Center
  • Miami, FL
  • NPI 1871891655
  Medicare reassignment NPD

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

• Larkin Community Hospital Inc

  • General Acute Care Hospital
  • Miami, FL
  • NPI 1952311243
  Care Compare affiliation

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435190400000",
    "number": "1992728448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9960 NW 116TH WAY",
            "address_2": "SUITE 13",
            "city": "MEDLEY",
            "state": "FL",
            "postal_code": "331781167",
            "telephone_number": "786-924-1311",
            "fax_number": "786-924-1313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9970 CENTRAL PARK BLVD N",
            "address_2": "SUITE 207",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334282231",
            "telephone_number": "561-482-1027",
            "fax_number": "561-482-1028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARBALLOSA",
        "first_name": "RAUL",
        "middle_name": "ENRIQUE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2015-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME0047929",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "FL",
            "license": "ME47929",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "053698900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joseph Anthony Cappetto, LMT
• Cappo Health LLC
• Craig Michael Cappola
• Alexis Cappucci, AA
• Anna Katherine Caravello
• Carbon Advanced Human Conditioning
• Carbon Health Medical Group of Florida PA
• Michael A Carbone, R.PH.
• Kristen Joan Carbonell, PHARMD
• Ramiro E Carbonell, RPH

• Neurology Physician in Boca Raton, FL
• Providers in Boca Raton, FL by specialty
• Neurology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2015; 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.

Verify at the official NPI Registry.