Active NPI
Ofer Barniv, PAC
- Family Medicine Physician
- Crystal, MN
National Provider Identifier
1093184533
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 11864
- Practice address
- 5700 Bottineau Blvd
Suite 100
Crystal, MN 55429-3183 - Phone
- (763) 504-6500
- NPI assigned
- Sep 15, 2015
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 11864 | MN | Primary |
Addresses
Primary practice location
5700 Bottineau Blvd
Suite 100
Crystal, MN 55429-3183
Mailing address
5700 Bottineau Blvd
Suite 100
Crystal, MN 55429-3183
Phone (763) 504-6500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Interoperability endpoints
- ofer.barniv.1@14940.direct.athenahealth.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1442275200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1442275200000",
"number": "1093184533",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5700 BOTTINEAU BLVD",
"address_2": "SUITE 100",
"city": "CRYSTAL",
"state": "MN",
"postal_code": "554293183",
"telephone_number": "763-504-6500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5700 BOTTINEAU BLVD",
"address_2": "SUITE 100",
"city": "CRYSTAL",
"state": "MN",
"postal_code": "554293183",
"telephone_number": "763-504-6500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARNIV",
"first_name": "OFER",
"credential": "PAC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-09-15",
"last_updated": "2015-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MN",
"license": "11864",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Crystal, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2015; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.