Active NPI
Antonio Baril Roa, MD
- Adult Medicine Physician
- Lake Placid, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Medicine Physician
- License
- ME42772
- Practice address
- 201 US Highway 27 S
Lake Placid, FL 33852-7904 - Phone
- (863) 465-6200
- Fax
- (863) 465-9217
- NPI assigned
- Jun 29, 2006
- Last updated
- Jun 25, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Medicine Physician | 207QA0505X | ME42772 | FL | Primary |
Addresses
Primary practice location
201 US Highway 27 S
Lake Placid, FL 33852-7904
Mailing address
PO Box 2829
Lake Placid, FL 33862-2829
Phone (863) 465-6200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 068294200 | Medicaid | FL |
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, 1973
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Adventist Health System-Sunbelt Inc
Practice addresses (Care Compare)
200 S Scenic Hwy
Frostproof, FL 33843-2125
Phone (863) 453-3121
201 US 27
Lake Placid, FL 33852-7904
Phone (863) 465-6200
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME42772 | FL | MD | Adult Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Adventist Health System-Sunbelt Inc | Current | Accepting new patients | |
| Adventist Health System-Sunbelt Inc | Current | Accepting new patients | |
| Adventist Health System-Sunbelt Inc | Past | Accepting new patients | |
| Adventist Health System-Sunbelt Inc | Past | Accepting new patients | |
| A B Roa Medical Center PA | Past | Accepting new patients |
Locations
200 S Scenic Hwy
Frostproof, FL 33843
Phone (863) 453-3121
1210 US Highway 27 N
Lake Placid, FL 33852
Phone (863) 465-3777
201 US Highway 27 S
Lake Placid, FL 33852
Phone (863) 299-2050
4200 Sun N Lake Blvd
Sebring, FL 33872
Phone (863) 314-4406
4421 Sun N Lake Blvd
Ste C
Sebring, FL 33872
Phone (863) 382-9600
844 Poinsettia Ave
Sebring, FL 33870
Phone (863) 385-8890
522 Carlton St
Wauchula, FL 33873
Phone (863) 773-0975
533 Carlton St
Wauchula, FL 33873
Phone (863) 767-8256
Interoperability endpoints
- aroa622127@adventhealth.direct-ci.com
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.
-
dba AdventHealth Cancer Institute Sebring
- General Acute Care Hospital
- Sebring, FL
- NPI 1083692594
-
dba AdventHealth Medical Group Cardiology & Vascular Medicine at Wauchula
- Family Medicine Physician
- Wauchula, FL
- NPI 1578725941
-
- General Practice Physician
- Lake Placid, FL
- NPI 1396934287
-
dba AdventHealth Medical Group Breast Surgery, Ear Nose & Throat, General Surgery at Sun N Lake
- Internal Medicine Physician
- Sebring, FL
- NPI 1164698809
-
dba AdventHealth Family Medicine Wauchula
- Rural Health Clinic/Center
- Wauchula, FL
- NPI 1396046637
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Adventhealth Home Health
- Home Health Agency
- Sebring, FL
- NPI 1508801929
-
dba AdventHealth Cancer Institute Sebring
- General Acute Care Hospital
- Sebring, FL
- NPI 1083692594
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151539200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1372118400000",
"number": "1932137957",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2829",
"city": "LAKE PLACID",
"state": "FL",
"postal_code": "338622829",
"telephone_number": "863-465-6200",
"fax_number": "863-465-9217"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 US HIGHWAY 27 S",
"city": "LAKE PLACID",
"state": "FL",
"postal_code": "338527904",
"telephone_number": "863-465-6200",
"fax_number": "863-465-9217"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROA",
"first_name": "ANTONIO",
"middle_name": "BARIL",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-29",
"last_updated": "2013-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "207QA0505X",
"taxonomy_group": "",
"desc": "Family Medicine, Adult Medicine",
"state": "FL",
"license": "ME42772",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "068294200",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lake Placid, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2013; 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.