John Patrick Barrett, MD
Individual provider Active NPI Obstetrics & Gynecology Physician · Watertown, NY
NPI 1104886688 · NPPES record last updated Jul 18, 2013
Key facts
- NPI
- 1104886688
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Obstetrics & Gynecology Physician 207V00000X
- License
- 228406 (NY)
- Practice address
- 22567 Summit Dr
Watertown, NY 13601-7233 - Phone
- (315) 788-2805
- Fax
- (315) 788-2819
- NPI assigned
- Mar 27, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 9
Hospital & facility affiliations 1
Owned or controlled facilities with NPI records 2
Medicare Care Compare profile
- Specialty
- Obstetrics/Gynecology
- Education
- State University of New York at Buffalo School of Medicine, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Samaritan Medical Center
Practice addresses (Care Compare)
830 Washington St
Watertown, NY 13601-4034
Phone (315) 785-4000
Hospital & facility affiliations
- Samaritan Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Removal of skin lesions | 1-10 |
| Removal of the uterus | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
All facility ownership & control disclosures 2
| Facility | Type | Role | Since |
|---|---|---|---|
| Samaritan Medical Center |
Hospital | Corporate Director | Jan 1, 2022 |
| Samaritan Medical Center |
Hospital | Corporate Director | Jan 1, 2023 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130509000010 | NY | Practitioner - Obstetrics/Gynecology | 1951480730 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD073684L | PA | MD | Specialist |
| 228406 | NY | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Josephs Hospital Health Center | Current |
Accepting new patients | |
| St Josephs Medical PC | Current |
Accepting new patients | |
| St Joseph'S Hospital Health Center | Obstetrics & Gynecology | Current |
Accepting new patients |
| OBGYN Hospitalist Medical Services of New York, P.C. | Obstetrics & Gynecology | Current |
Accepting new patients |
| Upmc Magee-Womens Hospital | Past | Accepting new patients | |
| Upmc Magee-Womens Hospital | Obstetrics & Gynecology | Past | Accepting new patients |
Locations
5100 W Taft Rd
Ste 2T
Liverpool, NY 13088
Phone (315) 744-1592
2210 Troy Schenectady Rd
Schenectady, NY 12309
Phone (518) 346-6400
255 Lafayette Ave
Suffern, NY 10901
Phone (845) 357-7830
301 Prospect Ave
Ste 706
Syracuse, NY 13203
Phone (315) 703-5200
301 Prospect Ave
Syracuse, NY 13203
Phone (315) 448-5111
Interoperability endpoints
- john.barrett@sfhcny.eclinicaldirectplus.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | MD073684L | PA | |
| Obstetrics & Gynecology Physician | 207V00000X | 228406 | NY | Yes |
Addresses
Primary practice location
22567 Summit Dr
Watertown, NY 13601-7233
Mailing address
22567 Summit Dr
Watertown, NY 13601-7233
Phone (315) 788-2805
Other providers in Watertown, NY
- Carol Barkley
- Michael Barkley
- Cierra Barnes Hulbert
- Everett Darryl Barnes
- Brandy Barniak
- Joseph Edward Barron
- Jennifer Rose Barse
- Paul D Barter
- Michelle Ann Bartlett
- Yvonne Victoria Bates
All providers in Watertown, NY · Obstetrics & Gynecology Physician in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 18, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.