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KAREN CARABALLO-TORRES MD
NPI 1093381766
Internal Medicine in Miami Beach, FL

Active since June 02, 2021PECOS EnrolledAccepts Medicare Assignment
4300 ALTON RD, MIAMI BEACH, FL 33140(305) 692-1074 Get Directions Write a Review

NPPES record last updated: September 30, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 30, 2024, Jul 11, 2024, Jun 2, 2021 (3 updates tracked since 2021).

About Karen Caraballo-torres Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KAREN CARABALLO-TORRES MD (NPI 1093381766) is an individual internal medicine provider in Miami Beach, Florida, licensed in Florida (ME169311) and active in the NPI registry since June 2021. She is enrolled in Medicare PECOS, is affiliated with Mount Sinai Medical Center Of Florida, Inc, and is a graduate of University Of Miami, Lm Miller School Of Medicine (2021).

NPPES Registry Identity

NPI1093381766
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameKAREN CARABALLO-TORRESCredential: MD
Location Address4300 ALTON RDMiami Beach, FL 33140-2948
Mailing Address4302 Alton Rd Ste 490Miami Beach, FL 33140-2842 · (305) 674-2845 · Fax (305) 674-2844
Phone(305) 692-1074
Sole ProprietorNo
Medical School CMSUniversity Of Miami, Lm Miller School Of MedicineGraduated 2021
Enumeration DateJune 2, 2021
Last NPPES UpdateSeptember 30, 20243 updates tracked since enumeration
NPPES CertifiedSeptember 30, 2024
✔ NPI 1093381766 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in FL · ME169311
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
4300 ALTON RD, Miami Beach, FL 33140
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Karen Caraballo-torres Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7315348620
PECOS Enrollment IDI20240925001142
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
38 services32 patients
Assessment of emotional or behavioral problems 96127
Assessment of emotional or behavioral problems involves a thorough evaluation of your feelings, thoughts, and behaviors. It's a process where professionals study patterns over time to identify potential issues like anxiety, depression, or other mental health conditions.
23 services21 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
18 services17 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
13 services13 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mount Sinai Medical Center Of Florida, Inc

Acute Care Hospitals · Miami Beach, FL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100034
Location4300 Alton RdMiami Beach, FL 33140 · Miami-Dade County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33140 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$141.56 typical visit price
range $60.92 – $187.05
Typical copayment $35.39 (range $15.23 – $46.76)
Most-billed visit code 99204
Established Patient
$107.17 typical visit price
range $18.99 – $150.24
Typical copayment $26.79 (range $4.74 – $37.56)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ROBERT SCORDATO JR. PA
Physician Assistant (Medical)
4300 ALTON RD, SUITE 2070
MIAMI BEACH, FL 33140
Miami-Dade County (305) 674-2609
JESSICA EMILIA WAHI
Surgery
4300 ALTON RD
MIAMI BEACH, FL 33140
Miami-Dade County (304) 545-3095
JEAN CARLOS CORREA PHARMACIST
Pharmacist
4300 ALTON RD
MIAMI BEACH, FL 33140
Miami-Dade County (305) 674-2121
AM RYWLIN MD AND ASSOC PA
Pathology (Anatomic Pathology & Clinical Pathology)
4300 ALTON RD
MIAMI BEACH, FL 33140
Miami-Dade County (305) 674-2277
FREDERICK EMERSON HASTY IV
Anesthesiology
4300 ALTON RD, SUITE 1401
MIAMI BEACH, FL 33140
Miami-Dade County (305) 674-2742
DR. JUSTIN DANA BURKHOLDER D.O.
Emergency Medicine
4300 ALTON RD
MIAMI BEACH, FL 33140
Miami-Dade County (610) 246-8011
DR. ELIAS ATRI MD
Student in an Organized Health Care Education/Training Program
4300 ALTON RD
MIAMI BEACH, FL 33140
Miami-Dade County (305) 674-2273
ALEXIS CAMARGO DO
Student in an Organized Health Care Education/Training Program
4300 ALTON RD
MIAMI BEACH, FL 33140
Miami-Dade County (305) 674-2273

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Karen Caraballo-torres's NPI number?

The NPI number for Karen Caraballo-torres is 1093381766. It was assigned to this individual provider in the NPPES registry on June 2, 2021.

Where is Karen Caraballo-torres located?

Karen Caraballo-torres practices at 4300 Alton Rd, Miami Beach, FL 33140. The listed phone number is (305) 692-1074.

What is Karen Caraballo-torres's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Karen Caraballo-torres enrolled in Medicare?

Yes. Karen Caraballo-torres is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Karen Caraballo-torres accept?

Health plans from AvMed, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and UnitedHealthcare list Karen Caraballo-torres as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Karen Caraballo-torres affiliated with any hospitals?

According to CMS data, Karen Caraballo-torres is affiliated with Mount Sinai Medical Center Of Florida, Inc.

When was this NPI record last updated?

The NPPES record for Karen Caraballo-torres was last updated on September 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.