Individual provider Active NPI

David L. Barnes, M.D.

  • Family Medicine Physician
  • Monroe, LA
National Provider Identifier
1063411056
Registry record updated Jul 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD.015532 Issued in LA
Practice address
3400 Medical Park Dr
Suite C
Monroe, LA 71203-2388
Phone
(318) 325-6078
Fax
(318) 324-9694
NPI assigned
Jul 20, 2005
Reactivated
Mar 28, 2006
Last updated
Jul 14, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 14, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD.015532 LA Primary

Addresses

Primary practice location

3400 Medical Park Dr
Suite C
Monroe, LA 71203-2388

Mailing address

3400 Medical Park Dr
Suite C
Monroe, LA 71203-2388
Phone (318) 325-6078

Other identifiers 2

IdentifierTypeStateIssuer
010018043OtherLARAILROAD MEDICARE
1330469MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20100820000666 LA Practitioner - Family Practice 8022142413 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Louisiana State University School of Medicine in Shreveport, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3400 Medical Park Dr
Suite C
Monroe, LA 71203-2300
Phone (318) 325-6078

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
David L. Barnes, MD, Apmc Family Medicine CurrentSince Jul 28, 1987 Accepting new patients
Ascend Hospice Care, LLC Family Medicine Past Accepting new patients

Locations

3400 Medical Park Dr
Ste C
Monroe, LA 71203
Phone (318) 325-6078

Interoperability endpoints

  • Direct secure messaging: david.barnes.1@27135.direct.athenahealth.com

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Ascend Hospice Care LLCMonroe, LA, CCN 191675 Hospice Contracted Managing Employee
5% Or Greater Indirect Ownership Interest (14.29%)
Jun 15, 2016
Jun 15, 2016

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1121817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626220800000",
    "number": "1063411056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 MEDICAL PARK DR",
            "address_2": "SUITE C",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712032388",
            "telephone_number": "318-325-6078",
            "fax_number": "318-324-9694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 MEDICAL PARK DR",
            "address_2": "SUITE C",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712032388",
            "telephone_number": "318-325-6078",
            "fax_number": "318-324-9694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARNES",
        "first_name": "DAVID",
        "middle_name": "L.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-20",
        "last_updated": "2021-07-14",
        "certification_date": "2021-07-14",
        "deactivation_date": "2006-03-20",
        "reactivation_date": "2006-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "MD.015532",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "010018043",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1330469",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, LA

Sources for this page

Verify at the official NPI Registry.