Organization Active NPI

Angelique Barreto M.D., P.C.

  • Geriatric Medicine (Family Medicine) Physician
  • Oklahoma City, OK
National Provider Identifier
1013976638
Registry record updated Mar 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X
Legal business name
ANGELIQUE BARRETO M.D., P.C.
Practice address
3418 NW 135TH St
Oklahoma City, OK 73120-4009
Phone
(405) 286-1075
Fax
(405) 608-1075
NPI assigned
Mar 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2020

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

Authorized official

Name
Dr. Angelique Barreto, M.D.NPI 1932168572
Title
President
Phone
(405) 286-1075

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207Q00000X
Geriatric Medicine (Family Medicine) PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207QG0300X Primary

Addresses

Primary practice location

3418 NW 135TH St
Oklahoma City, OK 73120-4009

Mailing address

3418 NW 135TH St
Oklahoma City, OK 73120-4009
Phone (405) 286-1075

Other names 1

  • Barreto Health Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051219000862 OK Part B Supplier - Clinic/Group Practice 4587686522 Receives reassigned benefits from 2 practitioners
Practice locations: Oklahoma City, OK

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
37D1048977Barreto Health Care3418 NW 135TH Street, Suite a, Oklahoma City, OK 73120Certificate of waiverJan 2, 2027

National Provider Directory

National Provider Directory

Locations

3418 NW 135th St
Ste A
Oklahoma City, OK 73120
Phone (405) 286-1075

3418 NW 135th St
Oklahoma City, OK 73120
Phone (405) 286-1075

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1142985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583366400000",
    "number": "1013976638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3418 NW 135TH ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731204009",
            "telephone_number": "405-286-1075",
            "fax_number": "405-608-1075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3418 NW 135TH ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731204009",
            "telephone_number": "405-286-1075",
            "fax_number": "405-608-1075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGELIQUE BARRETO M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-22",
        "last_updated": "2020-03-05",
        "certification_date": "2020-03-05",
        "status": "A",
        "authorized_official_last_name": "BARRETO",
        "authorized_official_first_name": "ANGELIQUE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "405-286-1075",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207QG0300X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Barreto Health Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Barreto Health Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.