LUIS BIENVENIDO CARABALLO ANTONIO MD
NPI 1780145763
Internal Medicine in Portsmouth, NH

Q: What is Luis Caraballo Antonio's NPI number?

The NPI number for Luis Caraballo Antonio is 1780145763. It was assigned to this individual provider in the NPPES registry on March 30, 2019.

Q: What is Luis Caraballo Antonio's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Active since March 30, 2019PECOS EnrolledAccepts Medicare Assignment

333 BORTHWICK AVE, PORTSMOUTH, NH 03801(603) 436-5110 Get Directions Write a Review

NPPES record last updated: October 13, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 13, 2024, Oct 23, 2023 (2 updates tracked since 2023).

On this page

About Luis Bienvenido Caraballo Antonio Md NPPES

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

LUIS BIENVENIDO CARABALLO ANTONIO MD (NPI 1780145763) is an individual internal medicine provider in Portsmouth, New Hampshire, licensed in New Hampshire (25229) and active in the NPI registry since March 2019. He is enrolled in Medicare PECOS, is affiliated with Hca Florida Lake City Hospital, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1780145763

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameLUIS BIENVENIDO CARABALLO ANTONIOCredential: MD

Location Address333 BORTHWICK AVEPortsmouth, NH 03801-7128

Mailing Address333 Borthwick AvePortsmouth, NH 03801-7128 · (603) 436-5110

Phone(603) 436-5110

Sole ProprietorNo

Medical School CMSOtherGraduated 2015

Enumeration DateMarch 30, 2019

Last NPPES UpdateOctober 13, 20242 updates tracked since enumeration

NPPES CertifiedOctober 13, 2024

✔ NPI 1780145763 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in NH · 25229

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

333 BORTHWICK AVE, Portsmouth, NH 03801

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health Maintenance Organization of Florida.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Luis Bienvenido Caraballo Antonio Md 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 ID7416333547

PECOS Enrollment IDI20250702000451

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 Luis Caraballo Antonio reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Hospital Medicine Services Of Fl, LLC

1,292 mi

Hospitalist

20900 BISCAYNE BLVD
Aventura, FL 33180

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

NPI 1710684857 (305) 682-7000

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

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

246 services82 patients

Hospital discharge day management, more than 30 minutes 99239

Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.

54 services54 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

53 services53 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

47 services25 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Hca Florida Lake City Hospital

Acute Care Hospitals · Lake City, FL

3/5 CMS rating

OwnershipProprietary

CMS Certification Number100156

Location340 NW Commerce DrLake City, FL 32055 · Columbia County

Emergency services

Hca Florida North Florida Hospital

Acute Care Hospitals · Gainesville, FL

2/5 CMS rating

OwnershipProprietary

CMS Certification Number100204

Location6500 W Newberry RdGainesville, FL 32605 · Alachua County

Emergency services Birthing friendly

Portsmouth Regional Hospital

Acute Care Hospitals · Portsmouth, NH

3/5 CMS rating

OwnershipProprietary

CMS Certification Number300029

Location333 Borthwick AvePortsmouth, NH 03801 · Rockingham County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 03801 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

$132.09 typical visit price

range $57.75 – $174.26

Typical copayment $33.02 (range $14.43 – $43.56)

Most-billed visit code 99204

Established Patient

$101.54 typical visit price

range $18.70 – $142.15

Typical copayment $25.38 (range $4.67 – $35.53)

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.

Other Providers at the Same Location NPPES 20

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

DR. JOHN PAUL GENS JR. MD

Surgery

333 BORTHWICK AVE, SUITE 305
PORTSMOUTH, NH 03801

Rockingham County (603) 433-6994

YOO NA CHUN MD

Student in an Organized Health Care Education/Training Program