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

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.

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 IDStateProvider typePAC IDDetails
I20090717000425 CA Practitioner - Critical Care (Intensivists)
Practitioner - Anesthesiology
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

LicenseStateTypeSpecialty
13458906-1205UTMDHospitalist Physician

Practice roles (7 of 8)

OrganizationSpecialtyStatusNew patients
University of Utah Pediatric Acuity Care Current
since Aug 15, 2023
Accepting new patients
University of Utah Pediatric Acuity Care Pediatric Critical Care Medicine Current
since Aug 15, 2023
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
since May 18, 2009
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

  • Direct secure messaging: bmarkovitz647067@direct.med.utah.edu

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
336OtherMO-BLUE SHIELD
202829107MedicaidMO

Electronic endpoints

TypeEndpointUseAffiliation
Direct Messaging Address BMARKOVITZ647067@DIRECT.MED.UTAH.EDU Direct University of Utah

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Dec 12, 2024.

{
    "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

All providers in Los Angeles, CA · Pediatric Critical Care Medicine Physician in California

Sources for this page

Verify at the official NPI Registry.