Barry P Markovitz, MD
Individual provider Active NPI Pediatric Critical Care Medicine Physician · Los Angeles, CA
NPI 1013934546 · NPPES record last updated Dec 12, 2024
Key facts
- NPI
- 1013934546
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatric Critical Care Medicine Physician 2080P0203X
- License
- 13458906-1205 (UT)
- Practice address
- 4650 W Sunset Blvd
Ms # 12
Los Angeles, CA 90027-6062 - Phone
- (323) 361-2557
- Fax
- (323) 361-1022
- NPI assigned
- Jul 17, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 7
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in CA, UT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090717000425 | CA | Practitioner - Critical Care (Intensivists) |
4082694591 | Reassigns benefits to 1 organization |
| I20230925001733 | UT | Practitioner - Hospitalist | 4082694591 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13458906-1205 | UT | MD | Hospitalist Physician |
Practice roles (7 of 8)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Utah Pediatric Acuity Care | Current |
Accepting new patients | |
| University of Utah Pediatric Acuity Care | Pediatric Critical Care Medicine | Current |
Accepting new patients |
| University of Utah Pediatric Acuity Care | Pediatric Critical Care Medicine | Current | Accepting new patients |
| Children'S Hospital Los Angeles Medical Group, Inc. | Current |
Accepting new patients | |
| Washington University | Past | Accepting new patients | |
| Children'S Hospital Los Angeles | Past | Accepting new patients | |
| Children'S Hospital Los Angeles Medical Group | Pediatric Critical Care Medicine | Past | Accepting new patients |
Locations
4650 W Sunset Blvd
Los Angeles, CA 90027
Phone (323) 361-2122
4650 W Sunset Blvd
#12
Los Angeles, CA 90027
Phone (323) 361-2557
127 S 500 E
Ste 400B
Salt Lake City, UT 84102
Phone (801) 587-6478
50 N Medical Dr
Slc, UT 84132
Phone (801) 581-2292
100 N Mario Capecchi Dr
Slc, UT 84113
Phone (801) 587-7109
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- bmarkovitz647067@direct.med.utah.edu
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Critical Care Medicine Physician | 2080P0203X | R3L63 | MO | |
| Hospitalist Physician | 208M00000X | 13458906-1205 | UT | |
| Pediatric Critical Care Medicine Physician | 2080P0203X | 13458906-1205 | UT | Yes |
Addresses
Primary practice location
4650 W Sunset Blvd
Ms # 12
Los Angeles, CA 90027-6062
Mailing address
295 S Chipeta Way
Salt Lake City, UT 84108-1287
Phone (801) 558-8276
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 336 | Other | MO-BLUE SHIELD | |
| 202829107 | Medicaid | MO |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | BMARKOVITZ647067@DIRECT.MED.UTAH.EDU | Direct | University of Utah |
NPI Registry JSON
{
"created_epoch": "1153094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733961600000",
"number": "1013934546",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "295 S CHIPETA WAY",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841081287",
"telephone_number": "801-558-8276"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4650 W SUNSET BLVD",
"address_2": "MS # 12",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900276062",
"telephone_number": "323-361-2557",
"fax_number": "323-361-1022"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARKOVITZ",
"first_name": "BARRY",
"middle_name": "P",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-17",
"last_updated": "2024-12-12",
"certification_date": "2024-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0203X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Critical Care Medicine",
"state": "MO",
"license": "R3L63",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "UT",
"license": "13458906-1205",
"primary": false
},
{
"code": "2080P0203X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Critical Care Medicine",
"state": "UT",
"license": "13458906-1205",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MO-BLUE SHIELD",
"identifier": "336",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "202829107",
"state": "MO"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "BMARKOVITZ647067@DIRECT.MED.UTAH.EDU",
"affiliation": "Y",
"affiliationName": "University of Utah",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CDA/CCD/TXT",
"address_1": "50 N Medical Dr",
"city": "Salt Lake City",
"state": "UT",
"country_code": "US",
"postal_code": "841320001",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Los Angeles, CA
- Ronald A Markman
- Aliss Markosian
- Amanda Jean Markovic
- Robert Markovic
- Jakob Markovits
- Erica Markovitz
- Gerald Hunter Markovitz
- Emily Markowitz Bailey
- Bernard Lloyd Markowitz
- Janet Markowitz
All providers in Los Angeles, CA · Pediatric Critical Care Medicine Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 12, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.