NPIMap

Organization Active NPI

Barak Podiatry,LLC

  • Foot & Ankle Surgery Podiatrist
  • Canfield, OH
National Provider Identifier
1053574558
Registry record updated Jun 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
003489 Issued in OH
Legal business name
BARAK PODIATRY,LLC
Practice address
6715 Tippecanoe Rd
Building D, Suite 100
Canfield, OH 44406-8180
Phone
(330) 286-0462
Fax
(330) 286-0436
NPI assigned
Jul 3, 2008
Last updated
Jun 8, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2026

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

Authorized official

Name
Joseph Michael BarakNPI 1134390735
Title
Podiatrist
Phone
(330) 360-6545

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 003489 OH Primary

Addresses

Primary practice location

6715 Tippecanoe Rd
Building D, Suite 100
Canfield, OH 44406-8180

Mailing address

6715 Tippecanoe Rd Ste 100
Canfield, OH 44406-8180
Phone (330) 286-0462

Other practice location 1

4157 Clark Rd
Sarasota, FL 34233-2403
Phone (941) 923-4999

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, FL3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20080812000465 OH Part B Supplier - Clinic/Group Practice 7618042532 Receives reassigned benefits from 4 practitioners
Practice locations: Canfield, OH
O20100930068871 OH DME Supplier - Physician - Podiatry 7618042532 Practice locations: Canfield, OH
O20250814003584 FL Part B Supplier - Clinic/Group Practice 7618042532 Receives reassigned benefits from 1 practitioner
Practice locations: Sarasota, FL

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Barak Podiatryllc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

4157 Clark Rd
Sarasota, FL 34233
Phone (941) 923-4999

6715 Tippecanoe Rd
#100
Canfield, OH 44406

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1215043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780876800000",
    "number": "1053574558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6715 TIPPECANOE RD STE 100",
            "city": "CANFIELD",
            "state": "OH",
            "postal_code": "444068180",
            "telephone_number": "330-286-0462",
            "fax_number": "330-286-0436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6715 TIPPECANOE RD",
            "address_2": "BUILDING D, SUITE 100",
            "city": "CANFIELD",
            "state": "OH",
            "postal_code": "444068180",
            "telephone_number": "330-286-0462",
            "fax_number": "330-286-0436"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4157 Clark Rd",
            "address_purpose": "LOCATION",
            "city": "Sarasota",
            "state": "FL",
            "postal_code": "342332403",
            "country_code": "US",
            "telephone_number": "941-923-4999",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BARAK PODIATRY,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-03",
        "last_updated": "2026-06-08",
        "certification_date": "2026-06-08",
        "status": "A",
        "authorized_official_last_name": "BARAK",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PODIATRIST",
        "authorized_official_telephone_number": "330-360-6545"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "OH",
            "license": "003489",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canfield, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.