Individual provider Active NPI

Jeannette Barrueta, M.D

  • Emergency Medicine Physician
  • South Miami, FL
National Provider Identifier
1992754774
Registry record updated Jun 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
ME96958 Issued in FL
Practice address
6200 SW 73Rd St
South Miami, FL 33143-4679
Phone
(786) 662-8181
NPI assigned
May 9, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X ME96958 FL Primary

Addresses

Primary practice location

6200 SW 73Rd St
South Miami, FL 33143-4679

Mailing address

2643 Natoma St
Miami, FL 33133-2425
Phone (786) 252-2401

Other identifiers 1

IdentifierTypeStateIssuer
114558MedicaidAZ

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
I20070329000582 FL Practitioner - Emergency Medicine 0941204739 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
99.45 of 100Reported as group
Quality
81.9
Promoting interoperability
98
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Monaco Medical Spa Emergency Medicine Current Accepting new patients
Larkin Emergency Physicians LLC Emergency Medicine CurrentSince May 1, 2020 Accepting new patients
E R Stat Inc Emergency Medicine CurrentSince Jun 1, 2016 Accepting new patients
South Miami Criticare Inc. Emergency Medicine CurrentSince Aug 12, 2010 Accepting new patients
Marshall Amaya & Anton P L Emergency Medicine Past Accepting new patients

Locations

1475 W 49th St
Hialeah, FL 33012
Phone (305) 824-4761

3663 S Miami Ave
Miami, FL 33133
Phone (305) 285-2131

5000 University Dr
Miami, FL 33146
Phone (305) 666-2111

9555 SW 162nd Ave
Miami, FL 33196
Phone (786) 467-2000

6200 SW 73rd St
South Miami, FL 33143
Phone (305) 661-4611

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": "1147132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277424000000",
    "number": "1992754774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2643 NATOMA ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331332425",
            "telephone_number": "786-252-2401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6200 SW 73RD ST",
            "city": "SOUTH MIAMI",
            "state": "FL",
            "postal_code": "331434679",
            "telephone_number": "786-662-8181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARRUETA",
        "first_name": "JEANNETTE",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-09",
        "last_updated": "2010-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "ME96958",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "114558",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in South Miami, FL

Sources for this page

Verify at the official NPI Registry.