Active NPI
Ulises Barroso, M.D.
- Family Medicine Physician
- Miami, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- ME140146
- Practice address
- 1490 NW 27TH Ave Ste 130
Miami, FL 33125-2173 - Phone
- (305) 635-7710
- Fax
- (786) 621-7817
- NPI assigned
- Feb 16, 2016
- Last updated
- Jan 21, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | ME140146 | FL | Primary |
| General Practice Physician | 208D00000X | 13801I | PR |
Addresses
Primary practice location
1490 NW 27TH Ave Ste 130
Miami, FL 33125-2173
Mailing address
6100 Blue Lagoon Dr Ste 365
Miami, FL 33126-7010
Phone (786) 322-7333
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 104261000 | Medicaid | FL |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ulises.barroso@cmg.eclinicaldirectplus.com | Other |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1490 NW 27TH Ave
Suite 130
Miami, FL 33125-2173
Phone (305) 635-7710
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME140146 | FL | MD | Family Medicine Physician |
| 13801I | PR | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Access Medical Group of Miami Medicare, LLC | Family Medicine | Current | Accepting new patients |
| Access Medical Group of Miami, LLC. | Family Medicine | Current | Accepting new patients |
| Ideal Medical Center of Miami | Family Medicine | Past | Accepting new patients |
Locations
1490 NW 27th Ave
Ste 130
Miami, FL 33125
Phone (305) 635-7710
6100 Blue Lagoon Dr
Ste 365
Miami, FL 33126
Phone (786) 322-7333
701 NW 27th Ave
Miami, FL 33125
Phone (305) 913-0808
Interoperability endpoints
- ulises.barroso@cmg.eclinicaldirectplus.com
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Community Medical Group
- Family Medicine Physician
- Miami, FL
- NPI 1619259264
-
dba Community Medical Group
- Family Medicine Physician
- Miami, FL
- NPI 1588558423
-
- Family Medicine Physician
- Miami, FL
- NPI 1336473917
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1455580800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1611187200000",
"number": "1669831855",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6100 BLUE LAGOON DR STE 365",
"city": "MIAMI",
"state": "FL",
"postal_code": "331267010",
"telephone_number": "786-322-7333"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1490 NW 27TH AVE STE 130",
"city": "MIAMI",
"state": "FL",
"postal_code": "331252173",
"telephone_number": "305-635-7710",
"fax_number": "786-621-7817"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARROSO",
"first_name": "ULISES",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-02-16",
"last_updated": "2021-01-21",
"certification_date": "2021-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "ME140146",
"primary": true
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "PR",
"license": "13801I",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "104261000",
"state": "FL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ulises.barroso@cmg.eclinicaldirectplus.com",
"affiliation": "N",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "health information has changed",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "other",
"address_1": "1490 NW 27th Ave Ste 130",
"city": "Miami",
"state": "FL",
"country_code": "US",
"postal_code": "331252173",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.