DIMITRI CORDOVA CABALLERO
NPI 1740637073
Family Medicine in Miami, FL

Active since May 17, 2016PECOS EnrolledAccepts Medicare Assignment
14770 SW 176TH ST, MIAMI, FL 33187(786) 366-7785 Get Directions Write a Review

NPPES record last updated: January 22, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jan 22, 2019, Dec 28, 2018, Aug 22, 2016 and 1 more (4 updates tracked since 2016).

About Dimitri Cordova Caballero NPPES

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

DIMITRI CORDOVA CABALLERO (NPI 1740637073) is an individual family medicine provider in Miami, Florida, licensed in Florida (ACN1021) and active in the NPI registry since May 2016. He is enrolled in Medicare PECOS and is a graduate of Other (1995).

NPPES Registry Identity

NPI1740637073
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDIMITRI CORDOVA CABALLERO
Location Address14770 SW 176TH STMiami, FL 33187-6714
Mailing Address2001 Palm Beach Lakes Blvd Ste 400West Palm Beach, FL 33409-6516 · (561) 420-8544 · Fax (561) 712-8886
Sole ProprietorYes
Medical School CMSOtherGraduated 1995
Enumeration DateMay 17, 2016
Last NPPES UpdateJanuary 22, 20194 updates tracked since enumeration
NPI 1740637073 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in FL · ACN1021
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedGeneral PracticeTaxonomy 208D00000X · License 19456 (PR)
14770 SW 176TH ST, Miami, FL 33187

Accepted 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

Dimitri Cordova Caballero 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 ID4688910722
PECOS Enrollment IDI20190110003393
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 5

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 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.
49 services46 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
41 services41 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
40 services40 patients
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza 87428
This test uses a method called immunoassay to identify severe acute respiratory syndrome coronavirus and influenza. It works by detecting specific proteins (antigens) in a sample, like a nasal swab. It's a powerful tool in diagnosing these viral infections.
39 services38 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.
29 services29 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33187 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
$96.13 typical visit price
range $60.92 – $187.05
Typical copayment $24.03 (range $15.23 – $46.76)
Most-billed visit code 99203
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.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1740637073, enumerated as an "individual" on May 17, 2016.

The provider is located at 14770 SW 176TH ST MIAMI, FL 33187 and the phone number is (786) 366-7785.

Family Medicine with taxonomy code 207Q00000X.

The provider might be accepting Accepts: Molina Healthcare. Please consult your insurance carrier or call the provider to verify.