Individual provider Active NPI

Adelbert Dominic Cabrera, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Fort Myers, FL
National Provider Identifier
1992960926
Registry record updated Mar 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
ME109952 Issued in FL
Practice address
1620 Medical LN Ste 100
Fort Myers, FL 33907-1143
Phone
(239) 275-1164
Fax
(239) 275-5212
NPI assigned
Jul 18, 2008
Sex
Male
Sole proprietor
No

Organizations & group practices 8

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.

Hospital & facility affiliations 3

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

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
New York Medical College, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Precision Pathology Associates Inc 13 clinicians

Practice addresses (Care Compare)

23450 Via Coconut PT
Estero, FL 34135-1877
Phone (239) 468-0182

Hospital & facility affiliations

  • Lee Memorial Hospital Hospital, Fort Myers, FL, CCN 100012
  • Gulf Coast Medical Center Lee Health Hospital, Fort Myers, FL, CCN 100220
  • Cape Coral Hospital Hospital, Cape Coral, FL, CCN 100244

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

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.

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20120307000300 FL Practitioner - Pathology 2567657000 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles (8 of 10)

OrganizationSpecialtyStatusNew patients
Ameripath Hospital Services-Florida LLC Anatomic Pathology & Clinical Pathology CurrentSince Aug 15, 2016 Accepting new patients
Ameripath Hospital Services-Florida LLC Anatomic Pathology & Clinical Pathology Current Accepting new patients
Precision Pathology Associates, Inc. Anatomic Pathology & Clinical Pathology CurrentSince Mar 24, 2025 Accepting new patients
Ameripath Hospital Services-Florida LLC Anatomic Pathology & Clinical Pathology CurrentSince Aug 15, 2016 Accepting new patients
Precision Pathology Associates, Inc. Anatomic Pathology & Clinical Pathology Past Accepting new patients
Appalachian Regional Healthcare, Inc. Past Accepting new patients
Appalachian Regional Healthcare, Inc Anatomic Pathology & Clinical Pathology Past Accepting new patients
Precision Pathology Associates, Inc. Anatomic Pathology & Clinical Pathology Past Accepting new patients

Locations

636 Del Prado Blvd S
Cape Coral, FL 33990
Phone (239) 332-5344

23450 Via Coconut Pt
Estero, FL 34135
Phone (239) 468-0150

2776 Cleveland Ave
Fort Myers, FL 33901
Phone (239) 343-2000

1620 Medical Ln
Ste 100
Fort Myers, FL 33907
Phone (239) 939-2305

9981 S Healthpark Dr
Fort Myers, FL 33908
Phone (239) 332-5344

13681 Doctors Way
Fort Myers, FL 33912
Phone (239) 343-1000

1701 SE Hillmoor Dr
Ste C11
Port St Lucie, FL 34952
Phone (772) 335-0626

14275 Midway Rd
Ste 400
Addison, TX 75001
Phone (214) 932-8018

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 43571 KY
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X ME109952 FL Primary

Addresses

NPPES NPI Registry

Primary practice location

1620 Medical LN Ste 100
Fort Myers, FL 33907-1143

Mailing address

14275 Midway Rd Ste 400
Addison, TX 75001-3676
Phone (972) 934-4392

Other practice location 1

1620 Medical Ln Ste 100
Fort Myers, FL 33907-1143
Phone (239) 275-1164

Other practice location 2

105 Spring Glen Dr
Debary, FL 32713-2512
Phone (386) 668-9432

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
7100121630MedicaidKY

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 17, 2023.

{
    "created_epoch": "1216339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679011200000",
    "number": "1992960926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14275 MIDWAY RD STE 400",
            "city": "ADDISON",
            "state": "TX",
            "postal_code": "750013676",
            "telephone_number": "972-934-4392",
            "fax_number": "610-271-4245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1620 MEDICAL LN STE 100",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339071143",
            "telephone_number": "239-275-1164",
            "fax_number": "239-275-5212"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1620 Medical Ln Ste 100",
            "address_purpose": "LOCATION",
            "city": "Fort Myers",
            "state": "FL",
            "postal_code": "339071143",
            "country_code": "US",
            "telephone_number": "239-275-1164",
            "fax_number": "239-275-5212",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "105 Spring Glen Dr",
            "address_purpose": "LOCATION",
            "city": "Debary",
            "state": "FL",
            "postal_code": "327132512",
            "country_code": "US",
            "telephone_number": "386-668-9432",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CABRERA",
        "first_name": "ADELBERT",
        "middle_name": "DOMINIC",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-18",
        "last_updated": "2023-03-17",
        "certification_date": "2023-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "KY",
            "license": "43571",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "FL",
            "license": "ME109952",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100121630",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

Verify at the official NPI Registry.