Trisha Dawn Barakat, DC
Individual provider Active NPI Chiropractor · Urbandale, IA
NPI 1063509693 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1063509693
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- A05992 (IA)
- Practice address
- 2600 72ND St
Suite P
Urbandale, IA 50322 - Phone
- (515) 270-9696
- Fax
- (515) 270-1348
- NPI assigned
- Oct 6, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 1996
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
12337 Stratford Dr
Clive, IA 50325-8148
Phone (515) 270-9696
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050608001051 | IA | Practitioner - Chiropractic | 6103869219 | Practice locations: Clive, IA |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MDCC, PC | Past |
Accepting new patients | |
| Compass Enterprises, Inc. | Chiropractor | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | A05992 | IA | Yes |
Addresses
Primary practice location
2600 72ND St
Suite P
Urbandale, IA 50322
Mailing address
2600 72ND St
Suite P
Urbandale, IA 50322
Phone (515) 270-9696
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0148387 | Medicaid | IA | |
| 665165 | Other | IA | ACN |
| 56637 | Other | IA | BCBS |
Other providers in Urbandale, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.