Theodore Dale Barber, M.D.

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

4301079960 Issued in MI

Practice address

25 Michigan St NE Ste 3300
Grand Rapids, MI 49503-2558

Phone

(616) 459-4171

Fax

(616) 459-0044

NPI assigned

Mar 20, 2007

Last updated

Jan 30, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

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

Specialty

Urology

Education

Wayne State University School of Medicine, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Michigan Institute of Urology PCGroup PAC ID 1052223492, 82 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Spectrum Health Hospital, Grand Rapids, MI, CCN 230038
• University of Michigan Health - West Hospital, Wyoming, MI, CCN 230236

Merit-based Incentive Payment System (MIPS)

Final score

83.86 of 100Reported as group

Quality

81.01

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Alliance Physician Services of Michigan, P.C.

  dba Michigan Institute of Urology

  • Urology Physician
  • Saint Clair Shores, MI
  • NPI 1427027416
  Medicare reassignment Care Compare group NPD
• Alliance Physician Services of Michigan, P.C.

  dba Michigan Institute of Urology

  • Urology Physician
  • Grand Rapids, MI
  • NPI 1598865735
  Medicare reassignment NPD
• Michigan Institute of Urology PC

  dba Michigan Institute of Urology

  • Durable Medical Equipment & Medical Supplies
  • Utica, MI
  • NPI 1922999051

  Urology

  NPD

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

• Metropolitan Hospital

  dba Metro Health Hospital

  • General Acute Care Hospital
  • Wyoming, MI
  • NPI 1619923919
  Care Compare affiliation
• Pennock Hospital

  dba Corewell Health Pennock Hospital

  • Critical Access Hospital
  • Hastings, MI
  • NPI 1932695525
  Care Compare affiliation
• Spectrum Health Hospitals

  dba Corewell Health Grand Rapids Hospital

  • General Acute Care Hospital
  • Grand Rapids, MI
  • NPI 1922090554
  Care Compare affiliation

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706572800000",
    "number": "1083739205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20952 E 12 MILE RD STE 200",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "480813203",
            "telephone_number": "586-771-4820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 MICHIGAN ST NE STE 3300",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495032558",
            "telephone_number": "616-459-4171",
            "fax_number": "616-459-0044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARBER",
        "first_name": "THEODORE",
        "middle_name": "DALE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-20",
        "last_updated": "2024-01-30",
        "certification_date": "2024-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "MI",
            "license": "4301079960",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donna Barber-McCann
• Alyssa-Mae K Barber
• Bethany Barber, MA, CCC-SLP
• Jeremy David Barber, D.O.
• Paige Kristine Barber, PA-C
• Karla Esmeralda Barberi
• Grayson Barbot, NBC-HWC; ACSM-CEP
• Peyton Elise Barbrick
• Kathryn Barcelona, LLMSW
• Kelly Jean Barcheski, MD

• Urology Physician in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Urology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 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.

Verify at the official NPI Registry.