Individual provider Active NPI

Efrain Acosta-Leon, MD

  • Psychiatry Physician
  • Stuart, FL
National Provider Identifier
1134559123
Registry record updated Mar 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
ME120361 Issued in FL
Practice address
555 S Colorado Ave Ste 111a
Stuart, FL 34994-3025
Phone
(917) 513-6588
Fax
(917) 900-1759
NPI assigned
Nov 12, 2013
Last updated
Mar 16, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X ME120361 FL Primary
Child & Adolescent Psychiatry Physician 2084P0804X ME120361 FL

Addresses

Primary practice location

555 S Colorado Ave Ste 111a
Stuart, FL 34994-3025

Mailing address

555 S Colorado Ave Ste 111a
Stuart, FL 34994-3025
Phone (917) 513-6588

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140922002812 FL Practitioner - Psychiatry 4981823036 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
New Horizons of the Treasure Coast IncGroup PAC ID 1153313218, 20 clinicians

Practice addresses (Care Compare)

4500 W Midway Rd
Fort Pierce, FL 34981-4823
Phone (561) 468-5600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
New Horizons of the Treasure Coast Inc Psychiatry CurrentSince Feb 20, 2023 Accepting new patients
Harm Reduction Center LLC Psychiatry CurrentSince Oct 18, 2021 Accepting new patients
Coral Shores Behavioral Health, LLC Psychiatry CurrentSince Aug 1, 2019 Accepting new patients

Locations

4500 W Midway Rd
Fort Pierce, FL 34981
Phone (561) 468-5600

631 US Highway 1
Ste 100
North Palm Beach, FL 33408
Phone (561) 602-5224

5995 SE Community Dr
Stuart, FL 34997
Phone (727) 424-3427

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: efrain.acostaleon@hca4.eclinicaldirectplus.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1384214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678924800000",
    "number": "1134559123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 S COLORADO AVE STE 111A",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349943025",
            "telephone_number": "917-513-6588",
            "fax_number": "917-900-1759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 S COLORADO AVE STE 111A",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349943025",
            "telephone_number": "917-513-6588",
            "fax_number": "917-900-1759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ACOSTA-LEON",
        "first_name": "EFRAIN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-11-12",
        "last_updated": "2023-03-16",
        "certification_date": "2023-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME120361",
            "primary": true
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "FL",
            "license": "ME120361",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stuart, FL

Sources for this page

Verify at the official NPI Registry.