DR. JOSUE JORGE CARABALLO M.D.
NPI 1164488540
General Practice in Macclenny, FL

Q: What is Josue Jorge Caraballo's NPI number?

The NPI number for Josue Jorge Caraballo is 1164488540. It was assigned to this individual provider in the NPPES registry on April 25, 2006.

Q: What is Josue Jorge Caraballo's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Active since April 25, 2006PECOS Enrolled

480 W LOWDER ST, MACCLENNY, FL 32063(904) 259-6291(904) 259-4761 Get Directions Write a Review

NPPES record last updated: March 12, 2014. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Dr. Josue Jorge Caraballo M.d. NPPES

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

DR. JOSUE JORGE CARABALLO M.D. (NPI 1164488540) is an individual general practice provider in Macclenny, Florida, licensed in Puerto Rico (15568) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1164488540

Entity TypeIndividualMale

Primary Taxonomy208D00000X

Provider Legal NameDR. JOSUE JORGE CARABALLOCredential: M.D.

Location Address480 W LOWDER STMacclenny, FL 32063-2664

Mailing Address480 W Lowder StMacclenny, FL 32063-2664 · (904) 259-6291 · Fax (904) 259-4761

Phone(904) 259-6291

Fax(904) 259-4761

Sole ProprietorNo

Enumeration DateApril 25, 2006

Last NPPES UpdateMarch 12, 2014

✔ NPI 1164488540 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians

Taxonomy Code208D00000X

Licenses✔ Licensed in PR · 15568✔ Licensed in FL · ACN275

Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

480 W LOWDER ST, Macclenny, FL 32063

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Other Identifiers 2

Medicare UPINI32365PR

Medicare ID-Type Unspecified23206PR

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Josue Jorge Caraballo M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Josue Jorge Caraballo reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Florida Department Of Children And Families

3.2 mi

Psychiatric Hospital

7487 S STATE ROAD 121, ACCOUNTING DEPARTMENT
Macclenny, FL 32063

Reassigned Medicare billing, Florida enrollment
89 clinicians in this Medicare group

NPI 1013931765 (904) 259-6211

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

1 supplier15 claims46 services$7.25 avg. paid by Medicare

Normal, low and high calibrator solution / chips A4256

DME-Other DME · category DE000N

1 supplier14 claims14 services$2.95 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

1 supplier14 claims22 services$1.24 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 13

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

DR. MARY ROBINSON M.D.

Family Medicine