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LILLIBETH CARABALLO-POLANCO M.D.
NPI 1790236065
Pediatrics - Neonatal-Perinatal Medicine in Jacksonville, FL

Active since October 20, 2016PECOS Enrolled
655 W 8TH ST, JACKSONVILLE, FL 32209(904) 244-4536 Get Directions Write a Review

NPPES record last updated: December 16, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 16, 2024, Jun 30, 2021, Oct 20, 2016 (3 updates tracked since 2016).

About Lillibeth Caraballo-polanco M.d. NPPES

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

LILLIBETH CARABALLO-POLANCO M.D. (NPI 1790236065) is an individual neonatal-perinatal medicine provider in Jacksonville, Florida, licensed in Florida (171007) and active in the NPI registry since October 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1790236065
Entity TypeIndividualFemale
Primary Taxonomy2080N0001X
Provider Legal NameLILLIBETH CARABALLO-POLANCOCredential: M.D.
Location Address655 W 8TH STJacksonville, FL 32209-6511
Mailing AddressPo Box 44008Jacksonville, FL 32231-4008
Phone(904) 244-4536
Sole ProprietorNo
Enumeration DateOctober 20, 2016
Last NPPES UpdateDecember 16, 20243 updates tracked since enumeration
NPPES CertifiedDecember 16, 2024
✔ NPI 1790236065 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Neonatal-Perinatal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080N0001X
License✔ Licensed in FL · 171007
Definition
A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
655 W 8TH ST, Jacksonville, FL 32209
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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)

Lillibeth Caraballo-polanco M.d. 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 Billing Reassignment

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

University Of Florida Jacksonville Physicians Inc
Same address
Diagnostic Radiology
655 W 8TH ST, UFJP RADIOLOGY
Jacksonville, FL 32209
  • Reassigned Medicare billing, Florida enrollment
  • 1,456 clinicians in this Medicare group
NPI 1326208695 (904) 244-3660

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 20

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

DR. MATTHEW DUWAIN WARRICK M.D.
Anesthesiology
655 W 8TH ST
JACKSONVILLE, FL 32209
Duval County (904) 244-4195
DR. MARYAM OOJA ABUBAKAR MD, MPH
Pediatrics (Neonatal-Perinatal Medicine)
655 W 8TH ST
JACKSONVILLE, FL 32209
Duval County (904) 244-3508
CHRISTOPHER FULLER PT, DPT
Physical Therapist
655 W 8TH ST
JACKSONVILLE, FL 32209
Duval County (904) 244-0411
WILLIAM RENFRO PHARM. D.
Pharmacist
655 W 8TH ST
JACKSONVILLE, FL 32209
Duval County (904) 244-2179
CAM-TU NGUYEN PHARMD
Pharmacist
655 W 8TH ST
JACKSONVILLE, FL 32209
Duval County (352) 682-4355
LOGAN SMITH PHARMD
Pharmacist
655 W 8TH ST
JACKSONVILLE, FL 32209
Duval County (478) 387-5570
HANNAH BISOGLIO
Student in an Organized Health Care Education/Training Program
655 W 8TH ST
JACKSONVILLE, FL 32209
Duval County (904) 244-0411
DR. CARMELA MONTEIRO MD
Pathology (Anatomic Pathology)
655 W 8TH ST, UFJP PATHOLOGY DEPT
JACKSONVILLE, FL 32209
Duval County (904) 244-4699

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 Lillibeth Caraballo-polanco's NPI number?

The NPI number for Lillibeth Caraballo-polanco is 1790236065. It was assigned to this individual provider in the NPPES registry on October 20, 2016.

Where is Lillibeth Caraballo-polanco located?

Lillibeth Caraballo-polanco practices at 655 W 8th St, Jacksonville, FL 32209. The listed phone number is (904) 244-4536.

What is Lillibeth Caraballo-polanco's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neonatal-Perinatal Medicine, with taxonomy code 2080N0001X.

Is Lillibeth Caraballo-polanco enrolled in Medicare?

Yes. Lillibeth Caraballo-polanco is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Lillibeth Caraballo-polanco's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lillibeth Caraballo-polanco reassigns Medicare benefits to University Of Florida Jacksonville Physicians Inc (Jacksonville, FL). 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 Lillibeth Caraballo-polanco'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 Lillibeth Caraballo-polanco was last updated on December 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.