Individual provider Active NPI

Joseph F Barakeh, DO PHD

  • Ophthalmology Physician
  • Walnut Creek, CA
National Provider Identifier
1013990613
Registry record updated May 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
20A8002 Issued in CA
Practice address
1855 San Miguel Dr
#28
Walnut Creek, CA 94596-5214
Phone
(925) 935-4978
Fax
(925) 935-9542
NPI assigned
Nov 29, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 16, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 20A8002 CA Primary

Addresses

Primary practice location

1855 San Miguel Dr
#28
Walnut Creek, CA 94596-5214

Mailing address

1855 San Miguel Dr
#28
Walnut Creek, CA 94596-5214
Phone (925) 935-4978

Other identifiers 1

IdentifierTypeStateIssuer
00AX80020MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20050330001279 CA Practitioner - Ophthalmology 9739136920 Reassigns benefits to 1 organization
Practice locations: Walnut Creek, CA

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1855 San Miguel Dr
Walnut Creek, CA 94596-5298
Phone (925) 935-8820

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery274

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
20A8002CAMDOphthalmology Physician
8002CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Walnut Creek Optical Current Accepting new patients
John Muir Trauma Physicians Billing Service Current Accepting new patients
Walnut Creek Optical CurrentSince Jun 1, 2002 Accepting new patients
John Muir Trauma Physicians Billing Service Ophthalmology CurrentSince Dec 31, 2009 Accepting new patients

Locations

1601 Ygnacio Valley Rd
Walnut Creek, CA 94598
Phone (925) 295-1545

1855 San Miguel Dr
Ste 28
Walnut Creek, CA 94596
Phone (925) 935-4978

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1133222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210896000000",
    "number": "1013990613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1855 SAN MIGUEL DR",
            "address_2": "#28",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945965214",
            "telephone_number": "925-935-4978",
            "fax_number": "925-935-9542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1855 SAN MIGUEL DR",
            "address_2": "#28",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945965214",
            "telephone_number": "925-935-4978",
            "fax_number": "925-935-9542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARAKEH",
        "first_name": "JOSEPH",
        "middle_name": "F",
        "credential": "DO PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-29",
        "last_updated": "2008-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "20A8002",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00AX80020",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Walnut Creek, CA

Sources for this page

Verify at the official NPI Registry.