NPIMap

Individual provider Active NPI

Matthew Barra, MD

  • Orthopaedic Surgery Physician
  • Miami, FL
National Provider Identifier
1174082135
Registry record updated Jan 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
ME168083 Issued in FL
Practice address
1150 Campo Sano Ave FL 2
Miami, FL 33146-1174
Phone
(786) 268-6200
NPI assigned
Mar 18, 2019
Last updated
Jan 3, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X ME168083 FL Primary

Addresses

Primary practice location

1150 Campo Sano Ave FL 2
Miami, FL 33146-1174

Mailing address

PO Box 100905
Atlanta, GA 30384-2316
Phone (786) 594-6880

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address MAT29344@cerner.directbaptisthealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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
I20250910004031 SC Practitioner - Orthopedic Surgery 4789126210 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Palmetto Bone and JointGroup PAC ID 4385545565, 12 clinicians

Practice addresses (Care Compare)

1 Wellness Blvd
Irmo, SC 29063-2871
Phone (803) 470-7040

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement54
Knee replacement72
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Melanoma (skin cancer) excision1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME168083FLMDOrthopaedic Surgery Physician
93823SCMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Palmetto Bone and Joint Orthopaedic Surgery CurrentSince Sep 1, 2025 Accepting new patients

Locations

22971 Highway 76 E
Clinton, SC 29325
Phone (803) 833-3046

1 Wellness Blvd
Irmo, SC 29063
Phone (803) 470-7040

2704 Kinard St
Newberry, SC 29108
Phone (803) 321-6254

Interoperability endpoints

  • Direct secure messaging: mat29344@cerner.directbaptisthealth.com

Organizations & group practices 1

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.

Hospital & facility affiliations 10

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": "1552867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735862400000",
    "number": "1174082135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 100905",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303842316",
            "telephone_number": "786-594-6880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 CAMPO SANO AVE FL 2",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331461174",
            "telephone_number": "786-268-6200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARRA",
        "first_name": "MATTHEW",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-18",
        "last_updated": "2025-01-03",
        "certification_date": "2025-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "FL",
            "license": "ME168083",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "MAT29344@cerner.directbaptisthealth.com",
            "affiliation": "N",
            "address_1": "1150 Campo Sano Ave Fl 2",
            "city": "Miami",
            "state": "FL",
            "country_code": "US",
            "postal_code": "331461174",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.