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SAMIRA CARABALLO
NPI 1770134231
Surgery - Plastic and Reconstructive Surgery in Melbourne, FL

Active since September 26, 2019PECOS Enrolled
100/100
CMS Quality Rating
707 W EAU GALLIE BLVD, MELBOURNE, FL 32935(321) 727-3223 Get Directions Write a Review

NPPES record last updated: July 1, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Samira Caraballo NPPES

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

SAMIRA CARABALLO (NPI 1770134231) is an individual plastic and reconstructive surgery provider in Melbourne, Florida, licensed in Florida (PA9112599) and active in the NPI registry since September 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1770134231
Entity TypeIndividualFemale
Primary Taxonomy2086S0122X
Provider Legal NameSAMIRA CARABALLO
Location Address707 W EAU GALLIE BLVDMelbourne, FL 32935-5958
Mailing Address1420 Ne Miami Pl Apt 1611Miami, FL 33132-1355
Phone(321) 727-3223
Sole ProprietorNo
Enumeration DateSeptember 26, 2019
Last NPPES UpdateJuly 1, 2022
NPPES CertifiedJuly 1, 2022
✔ NPI 1770134231 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Plastic and Reconstructive SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0122X
License✔ Licensed in FL · PA9112599
Definition
A surgeon who specializes in plastic and reconstructive surgery.
707 W EAU GALLIE BLVD, Melbourne, FL 32935
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Samira Caraballo 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 Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40

Other Providers at the Same Location NPPES 8

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

JURRY OM FNP
Nurse Practitioner (Family)
707 W EAU GALLIE BLVD
MELBOURNE, FL 32935
Brevard County (321) 727-3223
DR. CHRISTOPHER L HESS M.D.
Surgery (Plastic and Reconstructive Surgery)
707 W EAU GALLIE BLVD
MELBOURNE, FL 32935
Brevard County (321) 727-3223
BERMAX II LLC
Plastic Surgery (Plastic Surgery Within the Head and Neck)
707 W EAU GALLIE BLVD
MELBOURNE, FL 32935
Brevard County (321) 727-3223
JOHN VARNER DDS, MD
Surgery (Plastic and Reconstructive Surgery)
707 W EAU GALLIE BLVD
MELBOURNE, FL 32935
Brevard County (321) 727-3223
AMY M SIMON MD
Surgery (Plastic and Reconstructive Surgery)
707 W EAU GALLIE BLVD
MELBOURNE, FL 32935
Brevard County (321) 727-3223
DR. ROSS A CLEVENS MD
Plastic Surgery (Plastic Surgery Within the Head and Neck)
707 W EAU GALLIE BLVD
MELBOURNE, FL 32935
Brevard County (321) 727-3223
BRIAN WAYNE BENSON PA-C
Physician Assistant (Surgical)
707 W EAU GALLIE BLVD
MELBOURNE, FL 32935
Brevard County (321) 727-3223
DERIC D THOMSON MD, DMD
Plastic Surgery (Plastic Surgery Within the Head and Neck)
707 W EAU GALLIE BLVD
MELBOURNE, FL 32935
Brevard County (322) 727-3223

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 Samira Caraballo's NPI number?

The NPI number for Samira Caraballo is 1770134231. It was assigned to this individual provider in the NPPES registry on September 26, 2019.

Where is Samira Caraballo located?

Samira Caraballo practices at 707 W Eau Gallie Blvd, Melbourne, FL 32935. The listed phone number is (321) 727-3223.

What is Samira Caraballo's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Plastic and Reconstructive Surgery, with taxonomy code 2086S0122X.

Is Samira Caraballo enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Samira Caraballo was last updated on July 1, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.