Individual provider Active NPI

Antonio Baril Roa, MD

  • Adult Medicine Physician
  • Lake Placid, FL
National Provider Identifier
1932137957
Registry record updated Jun 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
License
ME42772 Issued in FL
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, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
068294200MedicaidFL

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
I20040729000877 FL Practitioner - Family Practice 3274513684 Reassigns benefits to 2 organizations

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 IncGroup PAC ID 0749232445, shared by 8 NPIs, 100 clinicians

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

LicenseStateTypeSpecialty
ME42772FLMDAdult Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Adventist Health System-Sunbelt Inc CurrentSince Jun 1, 2013 Accepting new patients
Adventist Health System-Sunbelt Inc CurrentSince Jul 24, 2017 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 PastSince Jan 1, 1984 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

  • Direct secure messaging: 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.

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": "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

Verify at the official NPI Registry.