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MR. JASON CARABALLO RD/LDN
NPI 1568893535
Dietitian, Registered - Nutrition, Metabolic in Lisle, IL

Active since December 02, 2013
430 WARRENVILLE RD STE 300, LISLE, IL 60532(630) 364-7850(630) 432-6604 Get Directions Write a Review

NPPES record last updated: July 13, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mr. Jason Caraballo Rd/ldn NPPES

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

MR. JASON CARABALLO RD/LDN (NPI 1568893535) is an individual nutrition, metabolic provider in Lisle, Illinois, licensed in Illinois (164005934) and active in the NPI registry since December 2013.

NPPES Registry Identity

NPI1568893535
Entity TypeIndividualMale
Primary Taxonomy133VN1006X
Provider Legal NameMR. JASON CARABALLOCredential: RD/LDN
Location Address430 WARRENVILLE RD STE 300Lisle, IL 60532-1348
Mailing AddressPo Box 713260Chicago, IL 60677-1260 · (630) 469-9200
Phone(630) 364-7850
Fax(630) 432-6604
Sole ProprietorNo
Enumeration DateDecember 2, 2013
Last NPPES UpdateJuly 13, 2023
NPPES CertifiedJuly 13, 2023
✔ NPI 1568893535 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, Registered · Nutrition, MetabolicDietary & Nutritional Service Providers
Taxonomy Code133VN1006X
License✔ Licensed in IL · 164005934
Definition
A registered dietitian who achieves specialized competency in metabolic nutrition.
430 WARRENVILLE RD STE 300, Lisle, IL 60532
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Jason Caraballo Rd/ldn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

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

Dupage Medical Group Ltd
2.8 mi
Multi-Specialty
1100 W 31ST ST, STE 300
Downers Grove, IL 60515
  • Reassigned Medicare billing, Illinois enrollment
  • 12 clinicians in this Medicare group
NPI 1801833983 (630) 469-9200

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

Other Providers at the Same Location NPPES 12

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

ANMOL PATEL APN
Nurse Practitioner
430 WARRENVILLE RD STE 300
LISLE, IL 60532
Dupage County (630) 364-7850
DR. BRIAN CHRISTOPHER MYRE M.D.
Internal Medicine (Hematology & Oncology)
430 WARRENVILLE RD STE 300
LISLE, IL 60532
Dupage County (630) 364-7850
EMILY CLAPSADDLE APN
Nurse Practitioner
430 WARRENVILLE RD STE 300
LISLE, IL 60532
Dupage County (630) 364-7850
SAUD SIDDIQUI MD
Family Medicine (Hospice and Palliative Medicine)
430 WARRENVILLE RD STE 300
LISLE, IL 60532
Dupage County (630) 364-7850
DAWN WILLIAMS LCSW, CADC
Social Worker (Clinical)
430 WARRENVILLE RD STE 300
LISLE, IL 60532
Dupage County (630) 364-7850
TRYN SMITH PA
Physician Assistant
430 WARRENVILLE RD STE 300
LISLE, IL 60532
Dupage County (630) 364-7850
MIKAILA LEVIGNE PA
Physician Assistant
430 WARRENVILLE RD STE 300
LISLE, IL 60532
Dupage County (630) 364-7850
JASMINE WILLIAMS LCSW
Social Worker (Clinical)
430 WARRENVILLE RD STE 300
LISLE, IL 60532
Dupage County (630) 364-7850

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 Jason Caraballo's NPI number?

The NPI number for Jason Caraballo is 1568893535. It was assigned to this individual provider in the NPPES registry on December 2, 2013.

Where is Jason Caraballo located?

Jason Caraballo practices at 430 Warrenville Rd Ste 300, Lisle, IL 60532. The listed phone number is (630) 364-7850.

What is Jason Caraballo's specialty?

The primary specialty registered for this NPI is Dietitian, Registered, specializing in Nutrition, Metabolic, with taxonomy code 133VN1006X.

Is Jason Caraballo enrolled in Medicare?

Yes. Jason Caraballo is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jason Caraballo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jason Caraballo reassigns Medicare benefits to Dupage Medical Group Ltd (Downers Grove, IL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jason Caraballo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jason Caraballo was last updated on July 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.