NPIMap

Individual provider Active NPI

Elder Antonio Arroyo-Nieto, MD

  • General Practice Physician
  • Clermont, FL
National Provider Identifier
1134898448
Registry record updated May 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
ACN1410 Issued in FL
Practice address
3725 S Hwy 27 Ste 101
Clermont, FL 34711-7600
Phone
(352) 524-2067
Fax
(352) 242-1335
NPI assigned
Sep 9, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 8, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X ACN1410 FL Primary
General Practice Physician 208D00000X 22521 PR

Addresses

Primary practice location

3725 S Hwy 27 Ste 101
Clermont, FL 34711-7600

Mailing address

410 Fern Dr
Leesburg, FL 34748-7008
Phone (352) 705-3484

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220323001831 FL Practitioner - General Practice 1557756822 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Aegis Medical Group LLCGroup PAC ID 8022324862, 20 clinicians

Practice addresses (Care Compare)

3725 S Hwy 27
Suite 101
Clermont, FL 34711-7600
Phone (352) 242-0676

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ACN1410FLMDGeneral Practice Physician
22521PRMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lakeview Healthcare System, LLC CurrentSince Oct 3, 2025 Accepting new patients
Lakeview Healthcare System, LLC CurrentSince Oct 3, 2025 Accepting new patients
Aegis Medical Group LLC CurrentSince Nov 6, 2023 Accepting new patients

Locations

3725 S Highway 27
Ste 101
Clermont, FL 34711
Phone (352) 242-0676

410 Fern Dr
Leesburg, FL 34748
Phone (352) 218-8200

18540 US Highway 441
Mount Dora, FL 32757
Phone (352) 383-1667

18550 US Highway 441
Mount Dora, FL 32757
Phone (352) 735-3755

10250 SE 167th Place Rd
Unit 5
Summerfield, FL 34491
Phone (352) 307-9225

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JBDHAD

Organizations & group practices 3

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

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1631145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715126400000",
    "number": "1134898448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 FERN DR",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347487008",
            "telephone_number": "352-705-3484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3725 S HWY 27 STE 101",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347117600",
            "telephone_number": "352-524-2067",
            "fax_number": "352-242-1335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARROYO-NIETO",
        "first_name": "ELDER",
        "middle_name": "ANTONIO",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-09-09",
        "last_updated": "2024-05-08",
        "certification_date": "2024-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ACN1410",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "22521",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clermont, FL

Sources for this page

Verify at the official NPI Registry.