Active NPI
Martin Acevedo Barrios, MD
- Emergency Medicine Physician
- Fort Myers, FL
National Provider Identifier
1770788689
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(4) exclusion effective Oct 19, 2023.
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 42222
- Practice address
- 4881 Palm Beach Blvd Ste 100
Fort Myers, FL 33905-3217 - Phone
- (813) 380-4905
- NPI assigned
- Jun 19, 2007
- Last updated
- Jan 18, 2016
- 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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 42222 | KY | Primary |
| Surgery Physician | 208600000X | ME98414 | FL |
Addresses
Primary practice location
4881 Palm Beach Blvd Ste 100
Fort Myers, FL 33905-3217
Mailing address
540 Jett Dr
Jackson, KY 41339-9622
Phone (813) 380-4905
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 19797 | Other | FL | EVOLUTIONS |
| 1770788689 | Other | FL | HUMANA |
| 312370 | Other | FL | AV MED |
| 7564915 | Other | FL | AETNA |
| 17804 | Other | FL | BLUE CROSS BLUE SHIELD OF FLORIDA |
| 2088498 | Other | FL | UNITED HEALTHCARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lehigh Hma Physician Management, LLC | Emergency Medicine | Past | Accepting new patients |
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.
-
dba Lehigh Medical Group
- Family Medicine Physician
- Lehigh Acres, FL
- NPI 1366499212
Emergency Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182211200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1453075200000",
"number": "1770788689",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "540 JETT DR",
"city": "JACKSON",
"state": "KY",
"postal_code": "413399622",
"telephone_number": "813-380-4905"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4881 PALM BEACH BLVD STE 100",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339053217",
"telephone_number": "813-380-4905"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARRIOS",
"first_name": "MARTIN",
"middle_name": "ACEVEDO",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-06-19",
"last_updated": "2016-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "KY",
"license": "42222",
"primary": true
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "FL",
"license": "ME98414",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EVOLUTIONS",
"identifier": "19797",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HUMANA",
"identifier": "1770788689",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AV MED",
"identifier": "312370",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7564915",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD OF FLORIDA",
"identifier": "17804",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "2088498",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fort Myers, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.