Active NPI
Antonio P Barba Jr., M.D.
- Specialist
- Wichita, KS
National Provider Identifier
1104890599
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 0416566
- Practice address
- 1515 S Clifton Ave
Ste. 450
Wichita, KS 67218-2900 - Phone
- (316) 691-2301
- Fax
- (316) 691-2306
- NPI assigned
- Feb 14, 2006
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | 0416566 | KS | Primary |
Addresses
Primary practice location
1515 S Clifton Ave
Ste. 450
Wichita, KS 67218-2900
Mailing address
PO Box 781866
Wichita, KS 67278-1866
Phone (316) 691-2301
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0416566 | Other | KS | KS ST. LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0416566 | KS | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139875200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1104890599",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 781866",
"city": "WICHITA",
"state": "KS",
"postal_code": "672781866",
"telephone_number": "316-691-2301"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1515 S CLIFTON AVE",
"address_2": "STE. 450",
"city": "WICHITA",
"state": "KS",
"postal_code": "672182900",
"telephone_number": "316-691-2301",
"fax_number": "316-691-2306"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARBA",
"first_name": "ANTONIO",
"middle_name": "P",
"name_suffix": "Jr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "KS",
"license": "0416566",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KS ST. LICENSE",
"identifier": "0416566",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wichita, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.