Active NPI
Manuel Barrera, M.D.
- Anesthesiology Physician
- Chicago HTS, IL
National Provider Identifier
1003862863
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 036062075
- Practice address
- 333 Dixie Hwy
Chicago HTS, IL 60411-1748 - Phone
- (708) 756-0100
- Fax
- (708) 709-6353
- NPI assigned
- May 25, 2006
- 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 |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 036062075 | IL | Primary |
Addresses
Primary practice location
333 Dixie Hwy
Chicago HTS, IL 60411-1748
Mailing address
333 Dixie Hwy
Chicago HTS, IL 60411-1748
Phone (708) 756-0100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036062075 | Medicaid | IL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148515200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1325030400000",
"number": "1003862863",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "333 DIXIE HWY",
"city": "CHICAGO HTS",
"state": "IL",
"postal_code": "604111748",
"telephone_number": "708-756-0100",
"fax_number": "708-709-6353"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "333 DIXIE HWY",
"city": "CHICAGO HTS",
"state": "IL",
"postal_code": "604111748",
"telephone_number": "708-756-0100",
"fax_number": "708-709-6353"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARRERA",
"first_name": "MANUEL",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-25",
"last_updated": "2011-12-28",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "IL",
"license": "036062075",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036062075",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Chicago HTS, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.