Organization Active NPI

Luis G Barbe MD PC

  • Surgery Physician
  • Roseville, MI
National Provider Identifier
1093991150
Registry record updated Jul 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
LB034289 Issued in MI
Legal business name
LUIS G BARBE MD PC
Practice address
25990 Kelly Rd
Suite 1
Roseville, MI 48066-4483
Phone
(586) 445-0950
Fax
(586) 445-9866
NPI assigned
Jan 18, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2008

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

Authorized official

Name
Dr. Luis G Barbe, MD
Title
Owner
Phone
(586) 445-0950

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X LB034289 MI Primary

Addresses

Primary practice location

25990 Kelly Rd
Suite 1
Roseville, MI 48066-4483

Mailing address

25990 Kelly Rd
Suite 1
Roseville, MI 48066-4483
Phone (586) 445-0950

Other identifiers 3

IdentifierTypeStateIssuer
0020042879OtherMIRAILROAD MEDICARE PIN
020E021670OtherMIBCBSM PIN
1099590MedicaidMI

National Provider Directory

National Provider Directory

Locations

22101 Moross Rd
Detroit, MI 48236
Phone (313) 343-3248

25990 Kelly Rd
Ste 1
Roseville, MI 48066
Phone (586) 445-0950

NPI Registry JSON

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

{
    "created_epoch": "1200614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216598400000",
    "number": "1093991150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25990 KELLY RD",
            "address_2": "SUITE 1",
            "city": "ROSEVILLE",
            "state": "MI",
            "postal_code": "480664483",
            "telephone_number": "586-445-0950",
            "fax_number": "586-445-9866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25990 KELLY RD",
            "address_2": "SUITE 1",
            "city": "ROSEVILLE",
            "state": "MI",
            "postal_code": "480664483",
            "telephone_number": "586-445-0950",
            "fax_number": "586-445-9866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUIS G BARBE MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-18",
        "last_updated": "2008-07-21",
        "status": "A",
        "authorized_official_last_name": "BARBE",
        "authorized_official_first_name": "LUIS",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "586-445-0950",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "MI",
            "license": "LB034289",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PIN",
            "identifier": "0020042879",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM PIN",
            "identifier": "020E021670",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1099590",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseville, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.