Eric Fernando Barroso, MD
Individual provider Active NPI Emergency Medicine Physician · Indianapolis, IN
NPI 1114196862 · NPPES record last updated Feb 27, 2008
Key facts
- NPI
- 1114196862
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- License
- 01064044A (IN)
- Practice address
- I-65 at 21St St
Room B401
Indianapolis, IN 46202 - Phone
- (317) 962-5975
- NPI assigned
- Feb 27, 2008
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Emergency Medicine
- Education
- University of Florida College of Medicine, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- La Jolla Emergency Specialists
La Jolla Observation Medicine
Practice addresses (Care Compare)
9888 Genesee Ave
La Jolla, CA 92037-1205
Phone (858) 626-6150
Hospital & facility affiliations
- Scripps Memorial Hospital la Jolla
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190920000437 | CA | Practitioner - Emergency Medicine | 2769533488 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01064044A | IN | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Scripps Health | Current | Accepting new patients | |
| La Jolla Observation Medicine | Emergency Medicine | Current |
Accepting new patients |
Locations
9888 Genesee Ave
La Jolla, CA 92037
Phone (858) 457-4123
Interoperability endpoints
- ebarroso286583@scrippshlth.medalliesdirect.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 01064044A | IN | Yes |
Addresses
Primary practice location
I-65 at 21St St
Room B401
Indianapolis, IN 46202
Mailing address
I-65 at 21St Street
Room B401
Indianapolis, IN 46202
Phone (317) 962-5975
Other providers in Indianapolis, IN
- Michael D. Barron
- Nadia Barron
- Angela Barronton
- Nicolas Barros Baertl
- Kathryn Lynn Barros
- Catherine Anne Barrows
- Laura Barrundia
- Barry & Johnson, Assoc, LLC
- Nichole Barry
- Quintana Bars
All providers in Indianapolis, IN · Emergency Medicine Physician in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 27, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.