Individual provider Active NPI

Edward Leonardo Barias, MD

  • Addiction Psychiatry Physician
  • Jupiter, FL
National Provider Identifier
1689007700
Registry record updated Jul 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Psychiatry PhysicianTaxonomy code 2084P0802X
License
ME119718 Issued in FL
Practice address
210 Jupiter Lakes Blvd Ste 3102
Jupiter, FL 33458
Phone
(561) 406-6561
Fax
(561) 406-6629
NPI assigned
Aug 13, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 5, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Psychiatry Physician 2084P0802X ME119718 FL Primary

Addresses

Primary practice location

210 Jupiter Lakes Blvd Ste 3102
Jupiter, FL 33458

Mailing address

210 Jupiter Lakes Blvd Ste 3102
Jupiter, FL 33458-7189
Phone (561) 406-6561

Other practice location 1

5200 East Ave
West Palm Beach, FL 33407-2374
Phone (561) 841-1140

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
I20180702002385 FL Practitioner - PsychiatryPractitioner - Addiction Medicine 5890925960 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
The Brain Spa LLCGroup PAC ID 1557616182, 11 clinicians

Practice addresses (Care Compare)

210 Jupiter Lakes Blvd
Suite 3102
Jupiter, FL 33458-7189
Phone (561) 406-6561

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME119718FLMDAddiction Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Brain Spa Concierge PA Current Accepting new patients
The Brain Spa, LLC Addiction Psychiatry CurrentSince Apr 20, 2018 Accepting new patients
Mindpath Health Florida, PLLC Past Accepting new patients
Gastroenterology Specialist Inc Past Accepting new patients

Locations

210 Jupiter Lakes Blvd
Ste 3102
Jupiter, FL 33458
Phone (561) 406-6561

5200 East Ave
West Palm Beach, FL 33407
Phone (561) 841-1000

Interoperability endpoints

  • Direct secure messaging: ebarias19305@jupitermedicalcenter.direct-ci.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1376352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530748800000",
    "number": "1689007700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 JUPITER LAKES BLVD STE 3102",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334587189",
            "telephone_number": "561-406-6561",
            "fax_number": "561-406-6629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 JUPITER LAKES BLVD STE 3102",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "33458",
            "telephone_number": "561-406-6561",
            "fax_number": "561-406-6629"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5200 East Ave",
            "address_purpose": "LOCATION",
            "city": "West Palm Beach",
            "state": "FL",
            "postal_code": "334072374",
            "country_code": "US",
            "telephone_number": "561-841-1140",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BARIAS",
        "first_name": "EDWARD",
        "middle_name": "LEONARDO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-08-13",
        "last_updated": "2018-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0802X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Psychiatry",
            "state": "FL",
            "license": "ME119718",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jupiter, FL

Sources for this page

Verify at the official NPI Registry.