Individual provider Active NPI

Concepcion Barreto, M.D.

  • Occupational Medicine Physician
  • Kissimmee, FL
National Provider Identifier
1932236601
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Medicine PhysicianTaxonomy code 2083X0100X
License
7932 Issued in PR
Practice address
201 Ruby Ave Ste a
Kissimmee, FL 34741-5698
Phone
(407) 933-1847
Fax
(407) 933-1849
NPI assigned
Feb 28, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 7932 PR
General Practice Physician 208D00000X ACN738 FL
Community/Behavioral Health Agency 251S00000X ACN738 FL
Community/Behavioral Health Agency 251S00000X 7932 FL
Community/Behavioral Health Agency 251S00000X 7932 PR
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 7932 PR
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X ACN738 FL
Occupational Medicine Physician 2083X0100X 7932 PR Primary

Addresses

Primary practice location

201 Ruby Ave Ste a
Kissimmee, FL 34741-5698

Mailing address

1178 Pineapple Way
Kissimmee, FL 34741-6705
Phone (787) 567-7805

Other practice location 1

142 Lighthouse Dr
Aguadilla, PR 00603-1330
Phone (787) 567-7805

Other practice location 2

1400 N Semoran Blvd Ste E
Orlando, FL 32807-3562
Phone (407) 823-8421

Other practice location 3

833 E Oak St
Kissimmee, FL 34744-5838
Phone (321) 422-4866

Other practice location 4

719 E Oak St
Kissimmee, FL 34744-4580
Phone (407) 846-0533

Other practice location 5

618 N Main St
Kissimmee, FL 34744-5262
Phone (407) 343-6006

Other identifiers 1

IdentifierTypeStateIssuer
ACN738OtherFLMEDICAL LICENSE

Other names 1

  • Dr. Concepcion Barreto-Cuevas Other name

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
I20160705001812 FL Practitioner - General Practice 9133411531 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Professional Psychiatric ServicesGroup PAC ID 4981901444, 6 clinicians

Practice addresses (Care Compare)

5449 S Semoran Blvd
Suite 20
Orlando, FL 32822-1778
Phone (407) 734-1273

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
7932PRMDClinical Social Worker
7932FLMDPhysical Rehabilitation Occupational Therapist
ACN738FLMDMental Health Clinic/Center (Including Community Mental Health Center)

Practice roles

OrganizationSpecialtyStatusNew patients
Panacea Alliance Corp. CurrentSince Jan 21, 2024 Accepting new patients
Compass Counseling Services, LLC Community/Behavioral Health CurrentSince Aug 6, 2017 Accepting new patients
Professional Psychiatric Services, LLC Community/Behavioral Health CurrentSince Feb 1, 2020 Accepting new patients
Compass Counseling Services,LLC Community/Behavioral Health Past Accepting new patients
Mindful Integrated Medicine LLC General Practice PastSince May 1, 2016 Accepting new patients

Locations

201 Ruby Ave
Ste A
Kissimmee, FL 34741
Phone (407) 931-3700

1400 N Semoran Blvd
Ste E
Orlando, FL 32807
Phone (407) 823-8421

5449 S Semoran Blvd
Ste 20
Orlando, FL 32822
Phone (407) 734-1273

1400 N Semoran Blvd
Orlando, FL 32807
Phone (407) 823-8421

1750 Tree Blvd
Ste 5
St Augustine, FL 32084
Phone (904) 222-8500

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1932236601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1178 PINEAPPLE WAY",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347416705",
            "telephone_number": "787-567-7805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 RUBY AVE STE A",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347415698",
            "telephone_number": "407-933-1847",
            "fax_number": "407-933-1849"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "142 Lighthouse Dr",
            "address_purpose": "LOCATION",
            "city": "Aguadilla",
            "state": "PR",
            "postal_code": "006031330",
            "country_code": "US",
            "telephone_number": "787-567-7805",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1400 N Semoran Blvd Ste E",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328073562",
            "country_code": "US",
            "telephone_number": "407-823-8421",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "833 E Oak St",
            "address_purpose": "LOCATION",
            "city": "Kissimmee",
            "state": "FL",
            "postal_code": "347445838",
            "country_code": "US",
            "telephone_number": "321-422-4866",
            "fax_number": "407-369-4652",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "719 E Oak St",
            "address_purpose": "LOCATION",
            "city": "Kissimmee",
            "state": "FL",
            "postal_code": "347444580",
            "country_code": "US",
            "telephone_number": "407-846-0533",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "618 N Main St",
            "address_purpose": "LOCATION",
            "city": "Kissimmee",
            "state": "FL",
            "postal_code": "347445262",
            "country_code": "US",
            "telephone_number": "407-343-6006",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BARRETO",
        "first_name": "CONCEPCION",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-28",
        "last_updated": "2022-07-21",
        "certification_date": "2020-12-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "7932",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ACN738",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "FL",
            "license": "ACN738",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "FL",
            "license": "7932",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "PR",
            "license": "7932",
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "PR",
            "license": "7932",
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "FL",
            "license": "ACN738",
            "primary": false
        },
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "PR",
            "license": "7932",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "ACN738",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CONCEPCION",
            "last_name": "BARRETO-CUEVAS",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Kissimmee, FL

Sources for this page

Verify at the official NPI Registry.