Individual provider Active NPI

Craig Douglas Barbieri, M.D.

  • Phlebology Physician
  • Overland Park, KS
National Provider Identifier
1043216336
Registry record updated Jul 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Phlebology PhysicianTaxonomy code 202K00000X
License
04-26621 Issued in KS
Practice address
4400 W 109TH St Ste 150
Overland Park, KS 66211-1319
Phone
(913) 541-3377
Fax
(913) 541-8082
NPI assigned
Jun 22, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 1, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Phlebology Physician 202K00000X 106409 MO
Phlebology Physician 202K00000X 04-26621 KS Primary

Addresses

Primary practice location

4400 W 109TH St Ste 150
Overland Park, KS 66211-1319

Mailing address

4400 W 109TH St Ste 150
Overland Park, KS 66211-1319
Phone (913) 541-3377

Other practice location 1

1500 N Church Rd Ste C
Liberty, MO 64068-7161
Phone (816) 792-1188

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL daphene.roorda@veinkc.com
Other URL veinsofkc@yahoo.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS, MO2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20101209001202 KS Practitioner - Family Practice 0547350332 Reassigns benefits to 1 organization
I20180426001125 MO Practitioner - Family Practice 0547350332 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Kansas School of Med (KC/Wich/Sal), 1994
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1500 N Church Rd C
Vein Clinic of GKC Liberty Office
Liberty, MO 64068-7161
Phone (913) 541-3377

4400 W 109TH St
Suite 150
Overland Park, KS 66211-1319
Phone (913) 541-3377

Merit-based Incentive Payment System (MIPS)

Final score
11.73 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
39.11

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal351

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
04-26621KSMDPhlebology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Carondelet Primary Care Network, Inc Family Medicine Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JJFHDD/Endpoint/JJFHDD
  • Direct secure messaging: cbarbieri755520@direct.kuha.org

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1119398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625097600000",
    "number": "1043216336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4400 W 109TH ST STE 150",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662111319",
            "telephone_number": "913-541-3377",
            "fax_number": "913-541-8082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4400 W 109TH ST STE 150",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662111319",
            "telephone_number": "913-541-3377",
            "fax_number": "913-541-8082"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1500 N Church Rd Ste C",
            "address_purpose": "LOCATION",
            "city": "Liberty",
            "state": "MO",
            "postal_code": "640687161",
            "country_code": "US",
            "telephone_number": "816-792-1188",
            "fax_number": "816-792-1190",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BARBIERI",
        "first_name": "CRAIG",
        "middle_name": "DOUGLAS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-22",
        "last_updated": "2021-07-01",
        "certification_date": "2021-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "202K00000X",
            "taxonomy_group": "",
            "desc": "Phlebology",
            "state": "MO",
            "license": "106409",
            "primary": false
        },
        {
            "code": "202K00000X",
            "taxonomy_group": "",
            "desc": "Phlebology",
            "state": "KS",
            "license": "04-26621",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "daphene.roorda@veinkc.com",
            "affiliation": "N",
            "address_1": "4400 W 109th St Ste 150",
            "city": "Overland Park",
            "state": "KS",
            "country_code": "US",
            "postal_code": "662111319",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "veinsofkc@yahoo.com",
            "affiliation": "N",
            "address_1": "4400 W 109th St Ste 150",
            "city": "Overland Park",
            "state": "KS",
            "country_code": "US",
            "postal_code": "662111319",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Overland Park, KS

Sources for this page

Verify at the official NPI Registry.