Active NPI
Samuel Ralph Barber, MD
- Otology & Neurotology Physician
- Phoenix, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otology & Neurotology Physician
- License
- 72109
- Practice address
- 2910 N 3Rd Ave # 330
Phoenix, AZ 85013-4434 - Phone
- (602) 406-8811
- Fax
- (602) 406-8810
- NPI assigned
- Sep 25, 2007
- Reactivated
- Jan 13, 2021
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | R76064 | AZ | |
| Otolaryngic Allergy Physician | 207YX0602X | 331171 | LA | |
| Otology & Neurotology Physician | 207YX0901X | 72109 | AZ | Primary |
Addresses
Primary practice location
2910 N 3Rd Ave # 330
Phoenix, AZ 85013-4434
Mailing address
240 W Thomas Rd Ste 301
Phoenix, AZ 85013-4407
Phone (602) 406-6262
Other practice location 1
1625 N Campbell Ave
Tucson, AZ 85719-4330
Phone (520) 694-0111
Other practice location 2
7777 Hennessy Blvd Ste 709
Baton Rouge, LA 70808-4366
Phone (225) 765-7735
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Otolaryngology
- Education
- Tufts University School of Medicine, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
500 W Thomas Rd
680 DHMG St Joseph'S Pelvic Pain and Surg
Phoenix, AZ 85013-4235
Phone (602) 406-6017
Hospital & facility affiliations
- St Josephs Hospital and Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R76064 | AZ | MD | Otolaryngology Physician |
| 331171 | LA | MD | Otolaryngic Allergy Physician |
| 72109 | AZ | MD | Otology & Neurotology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Joseph'S Hospital and Medical Center | Current | Accepting new patients | |
| Sjhmc Physician Services | Current | Accepting new patients | |
| St. Joseph'S Outpatient Surgery Center, LLC | Current | Accepting new patients |
Locations
500 W Thomas Rd
Ste 680
Phoenix, AZ 85013
Phone (602) 406-6017
240 W Thomas Rd
Ste 301
Phoenix, AZ 85013
Phone (602) 406-6262
2910 N 3rd Ave
Ste 330
Phoenix, AZ 85013
Phone (602) 406-8811
240 W Thomas Rd
#301
Phoenix, AZ 85013
Phone (602) 406-6262
2910 N 3rd Ave
#330
Phoenix, AZ 85013
Phone (602) 406-8811
File 56765
Los Angeles, CA 90074
Organizations & group practices 3
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.
-
- Multi-Specialty Clinic/Center
- Phoenix, AZ
- NPI 1326098005
-
- Emergency Care Clinic/Center
- Phoenix, AZ
- NPI 1255382412
-
- Ambulatory Surgical Clinic/Center
- Phoenix, AZ
- NPI 1306843222
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Phoenix, AZ
- NPI 1982733655
-
- General Acute Care Hospital
- Glendale, AZ
- NPI 1992131734
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190678400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721260800000",
"number": "1073700969",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "240 W THOMAS RD STE 301",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850134407",
"telephone_number": "602-406-6262"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2910 N 3RD AVE # 330",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850134434",
"telephone_number": "602-406-8811",
"fax_number": "602-406-8810"
}
],
"practiceLocations": [
{
"address_1": "1625 N Campbell Ave",
"address_purpose": "LOCATION",
"city": "Tucson",
"state": "AZ",
"postal_code": "857194330",
"country_code": "US",
"telephone_number": "520-694-0111",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7777 Hennessy Blvd Ste 709",
"address_purpose": "LOCATION",
"city": "Baton Rouge",
"state": "LA",
"postal_code": "708084366",
"country_code": "US",
"telephone_number": "225-765-7735",
"fax_number": "225-765-9937",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BARBER",
"first_name": "SAMUEL",
"middle_name": "RALPH",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-09-25",
"last_updated": "2024-07-18",
"certification_date": "2024-07-18",
"deactivation_date": "2020-06-30",
"reactivation_date": "2021-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "AZ",
"license": "R76064",
"primary": false
},
{
"code": "207YX0602X",
"taxonomy_group": "",
"desc": "Otolaryngology, Otolaryngic Allergy",
"state": "LA",
"license": "331171",
"primary": false
},
{
"code": "207YX0901X",
"taxonomy_group": "",
"desc": "Otolaryngology, Otology & Neurotology",
"state": "AZ",
"license": "72109",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2024; 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.