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DR. DANIEL ENRIQUE BARBOTO MD
NPI 1811574718
Internal Medicine in Atlanta, GA

Active since March 26, 2021PECOS EnrolledAccepts Medicare Assignment
49 JESSE HILL JR DR SE, ATLANTA, GA 30303(404) 778-7777 Get Directions Write a Review

NPPES record last updated: February 28, 2024. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Dr. Daniel Enrique Barboto Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. DANIEL ENRIQUE BARBOTO MD (NPI 1811574718) is an individual internal medicine provider in Atlanta, Georgia, licensed in Georgia (1811574718) and active in the NPI registry since March 2021. He is enrolled in Medicare PECOS, is affiliated with Grady Memorial Hospital, and is a graduate of Albert Einstein College Of Medicine Of Yeshiva University (2021).

NPPES Registry Identity

NPI1811574718
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. DANIEL ENRIQUE BARBOTOCredential: MD
Location Address49 JESSE HILL JR DR SEAtlanta, GA 30303-3049
Mailing Address49 Jesse Hill Jr Dr SeAtlanta, GA 30303-3049 · (404) 778-7777
Phone(404) 778-7777
Sole ProprietorNo
Medical School CMSAlbert Einstein College Of Medicine Of Yeshiva UniversityGraduated 2021
Enumeration DateMarch 26, 2021
Last NPPES UpdateFebruary 28, 2024
NPPES CertifiedFebruary 28, 2024
✔ NPI 1811574718 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in GA · 1811574718
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
49 JESSE HILL JR DR SE, Atlanta, GA 30303
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Daniel Enrique Barboto Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1153728217
PECOS Enrollment IDI20240717002709
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Daniel Barboto reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Emory Medical Care Foundation Inc
0.1 mi
Physical Medicine & Rehabilitation
80 JESSE HILL JR DR SE
Atlanta, GA 30303
  • Reassigned Medicare billing, Georgia enrollment
  • 2,681 clinicians in this Medicare group
NPI 1063678563 (404) 778-5014
The Emory Clinic Inc
4.4 mi
Internal Medicine
1365 CLIFTON RD NE
Atlanta, GA 30322
  • Reassigned Medicare billing, Georgia enrollment
  • 4,840 clinicians in this Medicare group
NPI 1396798229 (404) 778-2144

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Grady Memorial Hospital

Acute Care Hospitals · Atlanta, GA
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110079
Location80 Jesse Hill, Jr Drive SEAtlanta, GA 30303 · Fulton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30303 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$130.64 typical visit price
range $56.84 – $172.43
Typical copayment $32.66 (range $14.21 – $43.10)
Most-billed visit code 99204
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CAMERON R MARTIN PA-C
Physician Assistant
49 JESSE HILL JR DR SE
ATLANTA, GA 30303
Fulton County (404) 616-4473
JOO YOUNG JUNG
Student in an Organized Health Care Education/Training Program
49 JESSE HILL JR DR SE
ATLANTA, GA 30303
Fulton County (404) 778-7777
SUMAIYA ALAM MD
Student in an Organized Health Care Education/Training Program
49 JESSE HILL JR DR SE
ATLANTA, GA 30303
Fulton County (404) 778-7777
SHRUTI GUPTA MD
Internal Medicine (Hematology & Oncology)
49 JESSE HILL JR DR SE
ATLANTA, GA 30303
Fulton County (404) 778-7777
NANDINI AVULA
Student in an Organized Health Care Education/Training Program
49 JESSE HILL JR DR SE
ATLANTA, GA 30303
Fulton County (404) 778-7777
WASEF NIJIM
Student in an Organized Health Care Education/Training Program
49 JESSE HILL JR DR SE
ATLANTA, GA 30303
Fulton County (404) 778-7777
CHANDRIKA SANAPALA DO
Student in an Organized Health Care Education/Training Program
49 JESSE HILL JR DR SE
ATLANTA, GA 30303
Fulton County (404) 778-7777
DR. DAMON LEE JONES III M.D.
Pediatrics
49 JESSE HILL JR DR SE
ATLANTA, GA 30303
Fulton County (404) 778-1440

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Daniel Barboto's NPI number?

The NPI number for Daniel Barboto is 1811574718. It was assigned to this individual provider in the NPPES registry on March 26, 2021.

Where is Daniel Barboto located?

Daniel Barboto practices at 49 Jesse Hill Jr Dr SE, Atlanta, GA 30303. The listed phone number is (404) 778-7777.

What is Daniel Barboto's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Daniel Barboto enrolled in Medicare?

Yes. Daniel Barboto is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Daniel Barboto's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Daniel Barboto reassigns Medicare benefits to 2 organizations: Emory Medical Care Foundation Inc (Atlanta, GA) and The Emory Clinic Inc (Atlanta, GA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Daniel Barboto's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Daniel Barboto accept?

Health plans from Oscar Health list Daniel Barboto as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Daniel Barboto affiliated with any hospitals?

According to CMS data, Daniel Barboto is affiliated with Grady Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Daniel Barboto was last updated on February 28, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.