MR. CARLOS CANEK CORDERO-CABALLERO MD, MS
NPI 1730640871
General Practice in Columbus, OH

Active since March 29, 2019PECOS Enrolled
5100 KARL RD, COLUMBUS, OH 43229(614) 262-5094 Get Directions Write a Review

NPPES record last updated: April 6, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mr. Carlos Canek Cordero-caballero Md, Ms NPPES

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

MR. CARLOS CANEK CORDERO-CABALLERO MD, MS (NPI 1730640871) is an individual general practice provider in Columbus, Ohio, licensed in Ohio (35.152806) and active in the NPI registry since March 2019. He is enrolled in Medicare PECOS, maintains a secondary practice location in Columbus, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1730640871
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameMR. CARLOS CANEK CORDERO-CABALLEROCredential: MD, MS
Location Address5100 KARL RDColumbus, OH 43229-5141
Mailing Address395 W 12th Ave Rm 662Columbus, OH 43210-1267 · (614) 293-8000 · Fax (614) 293-4063
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateMarch 29, 2019
Last NPPES UpdateApril 6, 2026
NPPES CertifiedApril 6, 2026
✔ NPI 1730640871 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in OH · 35.152806
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
5100 KARL RD, Columbus, OH 43229

Secondary Practice Location 1

Location 1395 W 12th Ave Rm 662Columbus, OH 43210-1267 · Phone (614) 293-8000 · Fax (614) 293-4063

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Carlos Canek Cordero-caballero Md, Ms is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8921499062
PECOS Enrollment IDI20260805003672
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 Carlos Cordero-caballero reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Family Medicine
4001 ROSSLYN DR
Cincinnati, OH 45209
  • Reassigned Medicare billing, Ohio enrollment
  • 35 clinicians in this Medicare group

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 3

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

Clinic/Center (Primary Care)
5100 KARL RD
COLUMBUS, OH 43229
Nurse Practitioner
5100 KARL RD
COLUMBUS, OH 43229
Nurse Practitioner (Family)
5100 KARL RD
COLUMBUS, OH 43229

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 Carlos Cordero-caballero's NPI number?

The NPI number for Carlos Cordero-caballero is 1730640871. It was assigned to this individual provider in the NPPES registry on March 29, 2019.

Where is Carlos Cordero-caballero located?

Carlos Cordero-caballero practices at 5100 Karl Rd, Columbus, OH 43229. The listed phone number is (614) 262-5094.

What is Carlos Cordero-caballero's specialty?

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

Is Carlos Cordero-caballero enrolled in Medicare?

Yes. Carlos Cordero-caballero is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Carlos Cordero-caballero's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Carlos Cordero-caballero reassigns Medicare benefits to Vohra Wound Physicians Of Fl, LLC (Cincinnati, OH). 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 Carlos Cordero-caballero'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 Carlos Cordero-caballero was last updated on April 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.