Active NPI
Mara Corina Barrios, PA-C
- Physician Assistant
- Renton, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA60922855
- Practice address
- 3915 Talbot Rd S Ste 300
Renton, WA 98055-5738 - Phone
- (425) 690-3409
- Fax
- (425) 690-9004
- NPI assigned
- Feb 16, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA9109276 | FL | |
| Physician Assistant | 363A00000X | PA60922855 | WA | Primary |
| Physician Assistant | 363A00000X | CA |
Addresses
Primary practice location
3915 Talbot Rd S Ste 300
Renton, WA 98055-5738
Mailing address
3600 Lind Ave SW
Suite 100 Attn Credentialing
Renton, WA 98057-4497
Phone (425) 690-2715
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2121659 | Medicaid | WA |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mbarrios76615@direct.valleymed.org | Direct | |
| FHIR URL | https://FHIR.valleymed.org/FHIR-PRD/api/FHIR/DSTU2/ | Other |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3209 S 23Rd St
Suite 100
Tacoma, WA 98405-1602
Phone (253) 459-6999
407 14TH Ave SE
Puyallup, WA 98372-3770
Phone (253) 697-1962
4700 Point Fosdick Dr
Gig Harbor, WA 98335-1706
Hospital & facility affiliations
- Tacoma General Allenmore Hospital
- Valley Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA9109276 | FL | MD | Physician Assistant |
| PA60922855 | WA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Multicare Health System | Current | Accepting new patients | |
| Multicare Health System | Current | Accepting new patients | |
| Multicare Health System | Current | Accepting new patients | |
| Multicare Health System | Physician Assistant | Past | Accepting new patients |
Locations
4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590
222 State Ave N
Kent, WA 98030
Phone (253) 372-7680
Interoperability endpoints
- mara.barrios.p6@direct.mpmccorp.nextgenshare.com
- mbarrios861214@direct.multicare.org
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.
-
- Neurological Surgery Physician
- Tacoma, WA
- NPI 1497766638
-
- Physical Therapist
- Auburn, WA
- NPI 1033622311
-
- Community/Retail Pharmacy
- Spokane, WA
- NPI 1396594875
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Tacoma, WA
- NPI 1366556227
-
- General Acute Care Hospital
- Renton, WA
- NPI 1649209230
-
- General Acute Care Hospital
- Renton, WA
- NPI 1619209574
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1455580800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1629158400000",
"number": "1053770271",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3600 LIND AVE SW",
"address_2": "SUITE 100 ATTN CREDENTIALING",
"city": "RENTON",
"state": "WA",
"postal_code": "980574497",
"telephone_number": "425-690-2715"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3915 TALBOT RD S STE 300",
"city": "RENTON",
"state": "WA",
"postal_code": "980555738",
"telephone_number": "425-690-3409",
"fax_number": "425-690-9004"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARRIOS",
"first_name": "MARA",
"middle_name": "CORINA",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-02-16",
"last_updated": "2021-08-17",
"certification_date": "2021-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "PA9109276",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "WA",
"license": "PA60922855",
"primary": true
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2121659",
"state": "WA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mbarrios76615@direct.valleymed.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "mbarrios76615@direct.valleymed.org",
"address_1": "3915 Talbot Rd S Ste 300",
"city": "Renton",
"state": "WA",
"country_code": "US",
"postal_code": "980555738",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://FHIR.valleymed.org/FHIR-PRD/api/FHIR/DSTU2/",
"affiliation": "N",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "FHIR API",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CCD",
"address_1": "3915 Talbot Rd S Ste 300",
"city": "Renton",
"state": "WA",
"country_code": "US",
"postal_code": "980555738",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Renton, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.