Active NPI
Isaac Barr, M.D.
- Cardiovascular Disease Physician
- Southfield, MI
National Provider Identifier
1043259963
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 4301034795
- Practice address
- 28625 Northwestern Hwy
Suite 150
Southfield, MI 48034-1828 - Phone
- (248) 945-0000
- Fax
- (248) 945-0724
- NPI assigned
- Jun 6, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 4301034795 | MI | Primary |
Addresses
Primary practice location
28625 Northwestern Hwy
Suite 150
Southfield, MI 48034-1828
Mailing address
28625 Northwestern Hwy
Suite 150
Southfield, MI 48034-1828
Phone (248) 945-0000
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4411096 | Medicaid | MI | |
| 0630050 | Other | MI | BCBS INDIVIDUAL |
| B9040 | Other | MI | M'CARE |
| A73545 | Other | MI | HAP |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MMG 1PC | Cardiovascular Disease | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149552000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1043259963",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28625 NORTHWESTERN HWY",
"address_2": "SUITE 150",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480341828",
"telephone_number": "248-945-0000",
"fax_number": "248-945-0724"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "28625 NORTHWESTERN HWY",
"address_2": "SUITE 150",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480341828",
"telephone_number": "248-945-0000",
"fax_number": "248-945-0724"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARR",
"first_name": "ISAAC",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "MI",
"license": "4301034795",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4411096",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS INDIVIDUAL",
"identifier": "0630050",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "M'CARE",
"identifier": "B9040",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HAP",
"identifier": "A73545",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Southfield, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.