NPIMap

Individual provider Active NPI

Baldir A Lopez Acosta, MD

  • Internal Medicine Physician
  • Lehigh Acres, FL
National Provider Identifier
1245547355
Registry record updated Aug 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME109802 Issued in FL
Practice address
1154 Lee Blvd
Suite 4
Lehigh Acres, FL 33936-4852
Phone
(347) 852-5705
NPI assigned
Sep 10, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 26, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X ME109802 FL
Internal Medicine Physician 207R00000X ME109802 FL Primary

Addresses

Primary practice location

1154 Lee Blvd
Suite 4
Lehigh Acres, FL 33936-4852

Mailing address

1154 Lee Blvd
Suite 4
Lehigh Acres, FL 33936-4852
Phone (347) 852-5705

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
I20110914000403 FL Practitioner - Internal MedicinePractitioner - Pain Management 6608047162 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Legacy Healthcare Services IncGroup PAC ID 2163339722, 3,431 clinicians
Inpatient Medical Services, IncGroup PAC ID 3173755204, 4 clinicians

Practice addresses (Care Compare)

1499 S Brandywine Cir
Fort Myers, FL 33919-6775
Phone (239) 202-0059

2525 1St St
Fort Myers, FL 33901-2465
Phone (239) 332-3333

Hospital & facility affiliations

  • Preferred Care Home Health Services Home health agency, Fort Myers, FL, CCN 109423
  • Pinnacle Home Care Home health agency, Fort Myers, FL, CCN 683113
  • Trilogy Home Healthcare Home health agency, Estero, FL, CCN 108173
  • Empath Home Health Home health agency, Fort Myers, FL, CCN 109786
  • Vitas Healthcare Corporation of Florida Hospice, Melbourne, FL, CCN 101545
  • Avow Hospice Inc Hospice, Naples, FL, CCN 101528
  • Life Care Center of Estero Nursing home, Estero, FL, CCN 106057
  • Bentley Care Center Nursing home, Naples, FL, CCN 106062

Merit-based Incentive Payment System (MIPS)

Final score
85.05 of 100Reported as group
Quality
100
Improvement activities
40
Cost
19.4

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME109802FLMDInternal Medicine Physician

Practice roles (5 of 7)

OrganizationSpecialtyStatusNew patients
Inpatient Medical Services, Inc Internal Medicine CurrentSince Jan 6, 2014 Accepting new patients
Cape Coral Hospitalists Inc Internal Medicine CurrentSince Dec 14, 2013 Accepting new patients
Inpatient Medical Services Mental Health Inc CurrentSince Apr 10, 2023 Accepting new patients
Inpatient Specialists of Southwest Internal Medicine Past Accepting new patients
Cogent Healthcare of Fort Myers, LLC Internal Medicine Past Accepting new patients

Locations

636 Del Prado Blvd S
Cape Coral, FL 33990
Phone (239) 332-5344

2776 Cleveland Ave
Fort Myers, FL 33901
Phone (239) 343-2000

13681 Doctors Way
Rm 18027
Fort Myers, FL 33912
Phone (239) 210-4247

2525 First St
Fort Myers, FL 33901
Phone (239) 332-3333

13681 Doctors Way
Fort Myers, FL 33912
Phone (239) 343-1000

1154 Lee Blvd
Ste 3
Lehigh Acres, FL 33936
Phone (239) 230-2273

1154 Lee Blvd
Ste 4
Lehigh Acres, FL 33936
Phone (239) 368-5757

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 5

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 11

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": "1284076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409011200000",
    "number": "1245547355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1154 LEE BLVD",
            "address_2": "SUITE 4",
            "city": "LEHIGH ACRES",
            "state": "FL",
            "postal_code": "339364852",
            "telephone_number": "347-852-5705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1154 LEE BLVD",
            "address_2": "SUITE 4",
            "city": "LEHIGH ACRES",
            "state": "FL",
            "postal_code": "339364852",
            "telephone_number": "347-852-5705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ ACOSTA",
        "first_name": "BALDIR",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-09-10",
        "last_updated": "2014-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "FL",
            "license": "ME109802",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME109802",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lehigh Acres, FL

Sources for this page

Verify at the official NPI Registry.