Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. AMILCAR RAFAEL GONZALEZ CARABALLO MD
NPI 1962144865
Family Medicine in Bronx, NY

Q: What is Amilcar Gonzalez Caraballo's NPI number?

The NPI number for Amilcar Gonzalez Caraballo is 1962144865. It was assigned to this individual provider in the NPPES registry on April 11, 2022.

Q: What is Amilcar Gonzalez Caraballo's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since April 11, 2022PECOS Enrolled

1650 GRAND CONCOURSE, BRONX, NY 10457(718) 901-8704 Get Directions Write a Review

NPPES record last updated: July 6, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 6, 2026, Jun 14, 2023, Apr 20, 2022 and 1 more (4 updates tracked since 2022).

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About Dr. Amilcar Rafael Gonzalez Caraballo Md NPPES

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

DR. AMILCAR RAFAEL GONZALEZ CARABALLO MD (NPI 1962144865) is an individual family medicine provider in Bronx, New York, licensed in New York (345816) and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1962144865

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. AMILCAR RAFAEL GONZALEZ CARABALLOCredential: MD

Location Address1650 GRAND CONCOURSEBronx, NY 10457-7697

Mailing AddressHc 4 Box 49300Hatillo, PR 00659-8510 · (939) 585-7288

Phone(718) 901-8704

Sole ProprietorYes

Enumeration DateApril 11, 2022

Last NPPES UpdateJuly 6, 20264 updates tracked since enumeration

NPPES CertifiedJuly 6, 2026

✔ NPI 1962144865 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in NY · 345816

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.

1650 GRAND CONCOURSE, Bronx, NY 10457

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Amilcar Rafael Gonzalez Caraballo Md 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10457 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

$105.06 typical visit price

range $67.40 – $203.53

Typical copayment $26.26 (range $16.85 – $50.88)

Most-billed visit code 99203

Established Patient

$117.62 typical visit price

range $21.66 – $164.45

Typical copayment $29.40 (range $5.41 – $41.11)

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.

CASSIE LAUREN GREEN M.S., CCC-SLP

Speech-Language Pathologist