Individual provider Active NPI

Ulises Barroso, M.D.

  • Family Medicine Physician
  • Miami, FL
National Provider Identifier
1669831855
Registry record updated Jan 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME140146 Issued in FL
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, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 21, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
104261000MedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191011002069 FL Practitioner - Family Practice 6709117377 Reassigns benefits to 2 organizations

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
Access Medical Group of Miami, LLCGroup PAC ID 2062659899, 4 clinicians

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

LicenseStateTypeSpecialty
ME140146FLMDFamily Medicine Physician
13801IPRMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Access Medical Group of Miami Medicare, LLC Family Medicine CurrentSince Aug 21, 2025 Accepting new patients
Access Medical Group of Miami, LLC. Family Medicine CurrentSince Sep 20, 2019 Accepting new patients
Ideal Medical Center of Miami Family Medicine PastSince Aug 18, 2019 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.