Individual provider Active NPI

Marc S Barasch, D.O.

  • Family Medicine Physician
  • St Petersburg, FL
National Provider Identifier
1093701732
Registry record updated Sep 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS7132 Issued in FL
Practice address
1751 66TH St N
St Petersburg, FL 33710-5537
Phone
(727) 302-9622
Fax
(727) 302-9711
NPI assigned
Sep 27, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 3, 2010

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 OS7132 FL Primary

Addresses

Primary practice location

1751 66TH St N
St Petersburg, FL 33710-5537

Mailing address

1751 66TH St N
St Petersburg, FL 33710-5537
Phone (727) 302-9622

Other identifiers 1

IdentifierTypeStateIssuer
253399500MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20031218000541 FL Practitioner - Family Practice 0749187508 Reassigns benefits to 2 organizations
Practice locations: St Petersburg, FL

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
At Still University of Health Sciences, College of Osteo Med, Kirksville, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Yamani MD LLCGroup PAC ID 1557704848, 3 clinicians
All Care Medical Consultants PAGroup PAC ID 4688640964, 4 clinicians

Practice addresses (Care Compare)

1745 S Highland Ave
Clearwater, FL 33756-1852
Phone (727) 587-0377

8900 Park Blvd
Seminole, FL 33777-4119

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
All Care Medical Consultants PA CurrentSince Jun 3, 2024 Accepting new patients
All Care Medical Consultants PA CurrentSince Jun 3, 2024 Accepting new patients
Marc S Barasch DO Family Medicine PastSince Jan 1, 1990 Accepting new patients
Sunset Point Medical Associates Inc Family Medicine Past Accepting new patients

Locations

1745 S Highland Ave
Clearwater, FL 33756
Phone (727) 585-4488

8900 Park Blvd
Seminole, FL 33777
Phone (727) 545-4545

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FEFAAA/Endpoint/FEFAAA

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1127779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283472000000",
    "number": "1093701732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1751 66TH ST N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337105537",
            "telephone_number": "727-302-9622",
            "fax_number": "727-302-9711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1751 66TH ST N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337105537",
            "telephone_number": "727-302-9622",
            "fax_number": "727-302-9711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARASCH",
        "first_name": "MARC",
        "middle_name": "S",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-27",
        "last_updated": "2010-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS7132",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "253399500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

Verify at the official NPI Registry.