Individual provider Active NPI

Jose L Barriocanal, M.D.

  • Urology Physician
  • Seaford, DE
National Provider Identifier
1003873415
Registry record updated Dec 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
C10000823 Issued in DE
Practice address
220 Pennsylvania Ave
Seaford, DE 19973-3820
Phone
(302) 629-4528
Fax
(302) 629-6533
NPI assigned
Apr 28, 2006
Last updated
Dec 11, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 11, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X C10000823 DE Primary

Addresses

Primary practice location

220 Pennsylvania Ave
Seaford, DE 19973-3820

Mailing address

220 Pennsylvania Ave
Seaford, DE 19973-3820
Phone (302) 629-4528

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
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
I20100129000066 DE Practitioner - Urology 6406998483 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Tidalhealth Physician Network, Inc. CurrentSince Jul 9, 2018 Accepting new patients

Locations

801 Middleford Rd
Seaford, DE 19973
Phone (302) 628-9178

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1146182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197331200000",
    "number": "1003873415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 PENNSYLVANIA AVE",
            "city": "SEAFORD",
            "state": "DE",
            "postal_code": "199733820",
            "telephone_number": "302-629-4528",
            "fax_number": "302-629-6533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 PENNSYLVANIA AVE",
            "city": "SEAFORD",
            "state": "DE",
            "postal_code": "199733820",
            "telephone_number": "302-629-4528",
            "fax_number": "302-629-6533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARRIOCANAL",
        "first_name": "JOSE",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-28",
        "last_updated": "2007-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "DE",
            "license": "C10000823",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seaford, DE

Sources for this page

Verify at the official NPI Registry.