Individual provider Active NPI

Lucas Felipe Bastos Horta, MD

  • Neurology Physician
  • Boston, MA
National Provider Identifier
1881155414
Registry record updated Mar 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
96253 Issued in GA
Practice address
725 Albany Street, Shapiro Primary Care
Precepting Room
Boston, MA 02128
Phone
(617) 414-5951
Fax
(617) 414-9251
NPI assigned
Mar 27, 2019
Reactivated
Feb 11, 2020
Last updated
Mar 27, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Neurology Physician 2084N0400X 96253 GA Primary

Addresses

Primary practice location

725 Albany Street, Shapiro Primary Care
Precepting Room
Boston, MA 02128

Mailing address

725 Albany Street, Shapiro Primary Care
Precepting Room
Boston, MA 02128
Phone (617) 414-5951

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20240725001245 GA Practitioner - Neurology 1456681493 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emory Medical Care Foundation IncGroup PAC ID 4981501814, 1,003 clinicians

Practice addresses (Care Compare)

80 Jesse Hill Jr Dr SE
Atlanta, GA 30303-3031
Phone (404) 616-1000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.24 of 100Reported as group
Quality
73.72
Promoting interoperability
100
Improvement activities
40
Cost
75.22

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Emory Medical Care Foundation Inc Current Accepting new patients
Emory Medical Care Foundation Inc Neurology CurrentSince Jun 6, 2024 Accepting new patients
Emory Medical Care Foundation Inc CurrentSince Jun 6, 2024 Accepting new patients
The Emory Clinic Inc CurrentSince Nov 6, 2024 Accepting new patients
Emory Health Care Neurology Past Accepting new patients

Locations

12 Executive Park Dr NE
Atlanta, GA 30329
Phone (404) 727-5157

1365 Clifton Rd NE
Atlanta, GA 30322
Phone (404) 778-7525

2201 Henderson Mill Rd NE
Ste 160
Atlanta, GA 30345
Phone (404) 251-2193

80 Jesse Hill Jr Dr SE
Atlanta, GA 30303
Phone (404) 616-4370

Interoperability endpoints

  • Direct secure messaging: lfelipebastoshorta1052603@direct.emory.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1553644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711497600000",
    "number": "1881155414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 ALBANY STREET, SHAPIRO PRIMARY CARE",
            "address_2": "PRECEPTING ROOM",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "02128",
            "telephone_number": "617-414-5951",
            "fax_number": "617-414-9251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 ALBANY STREET, SHAPIRO PRIMARY CARE",
            "address_2": "PRECEPTING ROOM",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "02128",
            "telephone_number": "617-414-5951",
            "fax_number": "617-414-9251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FELIPE BASTOS HORTA",
        "first_name": "LUCAS",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-27",
        "last_updated": "2024-03-27",
        "certification_date": "2024-03-27",
        "deactivation_date": "2019-11-04",
        "reactivation_date": "2020-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "GA",
            "license": "96253",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.