Moataz Barkat, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

2020021419 Issued in MO

Practice address

3315 W 66TH PL
Chicago, IL 60629-3427

Phone

(773) 987-4452

NPI assigned

Oct 26, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1603670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605916800000",
    "number": "1053911495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3315 W 66TH PL",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606293427",
            "telephone_number": "773-987-4522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3315 W 66TH PL",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606293427",
            "telephone_number": "773-987-4452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARKAT",
        "first_name": "MOATAZ",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-10-26",
        "last_updated": "2020-11-21",
        "certification_date": "2020-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "2020021419",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "2020021419",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Lynn Barish, LCSW
• Silvija Barisic, LPC
• Barisura Private LTD
• Eliverta Barjamaj, MSW, LCSW
• Stephanie Barkan
• Laura Ruth Barkenquast, DSP
• Kimberly Raye Barker- Price, APRN, AGPCNP
• David E. Barker, M.D.
• Elizabeth Barker, MD
• Janet Lutha Barker, OTR/L

• Family Medicine Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Family Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.