KEVIN JONATHAN CACERES MD NPI 1053739391

NPI Information

  • NPI: 1053739391
  • Provider Name: KEVIN JONATHAN CACERES, MD
  • Classification: Otolaryngology - 207YS0123X
  • Specialization: Facial Plastic Surgery
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1615 PASADENA AVE S STE 220
    SOUTH PASADENA, FL
    ZIP 33707
  • Phone: (727) 870-3223

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NPI Details

Kevin Jonathan Caceres, MD is a facial plastic surgery otolaryngology in South Pasadena, FL with 11 years of experience. The provider is an otolaryngologist who specializes in facial plastic surgery. Kevin Jonathan Caceres, MD NPI is 1053739391. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: BAYLOR COLLEGE OF MEDICINE
Graduation Year:2014

The provider's business location address is:

1615 PASADENA AVE S STE 220
SOUTH PASADENA, FL
ZIP 33707-517
Phone: (727) 870-3223
Fax: (727) 870-4223

The NPI 1053739391 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
  • Melanoma (skin cancer) excision (HCPCS:NAN03)

The enumeration date for this NPI number is 4/3/2014 and was last updated on 6/12/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207YS0123XOtolaryngologyFacial Plastic SurgeryS1574TEXASNo
2207YS0123XOtolaryngologyFacial Plastic SurgeryME145079FLORIDAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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