Individual provider Active NPI

Ruba F. Barakat, M.D.

  • Internal Medicine Physician
  • Meridian, MS
National Provider Identifier
1104894880
Registry record updated Sep 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
19227 Issued in MS
Practice address
1600 22ND Ave
Meridian, MS 39301-3223
Phone
(601) 483-5322
Fax
(601) 581-2289
NPI assigned
Mar 9, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 01088406A IN
Internal Medicine Physician 207R00000X 4301119101 MI
Internal Medicine Physician 207R00000X 19227 MS Primary

Addresses

Primary practice location

1600 22ND Ave
Meridian, MS 39301-3223

Mailing address

1600 22ND Ave
Meridian, MS 39301-3223
Phone (601) 483-5322

Other identifiers 3

IdentifierTypeStateIssuer
04685716MedicaidMS
009936153MedicaidAL
731-04381OtherBLUE CROSS OF AL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS, MI, NY, MO, IL, OH, GA7 enrollments
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 7

Enrollment IDStateProvider typePAC IDDetails
I20060427000485 MS Practitioner - Internal Medicine 3577573039 Reassigns benefits to 3 organizations
I20200318001176 MI Practitioner - Internal Medicine 3577573039 Reassigns benefits to 5 organizations
I20220920001595 NY Practitioner - Internal Medicine 3577573039 Reassigns benefits to 1 organization
I20221102001222 MO Practitioner - Internal Medicine 3577573039 Reassigns benefits to 1 organization
I20230612001786 IL Practitioner - Internal Medicine 3577573039 Reassigns benefits to 3 organizations
I20240119003101 OH Practitioner - Internal Medicine 3577573039 Reassigns benefits to 1 organization
I20240228001256 GA Practitioner - Internal Medicine 3577573039 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Grand Traverse Physician Services PC 119 clinicians
Hillsboro Area Hospital, Inc. 37 clinicians
North Michigan Physician Services PC 66 clinicians
Grenada Emergency Group, LLC 37 clinicians
Greenbrook Physician Services, LLC 70 clinicians
Gloversville Physician Medicine Services PC 24 clinicians

Practice addresses (Care Compare)

1105 6TH St
Traverse City, MI 49684-2345
Phone (231) 935-5000

1200 E Tremont St
Hillsboro, IL 62049-1912
Phone (217) 532-6111

14700 Lake Shore Dr
Charlevoix, MI 49720-1931
Phone (231) 547-4024

239 Bowling Green Rd
Lexington, MS 39095-5167
Phone (662) 834-1321

7601 Southcrest Pkwy
Southaven, MS 38671-4739
Phone (662) 772-4000

99 E State St
Gloversville, NY 12078-1203
Phone (518) 775-4264

Hospital & facility affiliations

  • Munson Medical Center Hospital, Traverse City, MI, CCN 230097
  • Baptist Memorial Hospital Desoto Hospital, Southaven, MS, CCN 250141
  • Nathan Littauer Hospital Hospital, Gloversville, NY, CCN 330276
  • Holmes County Hospital and Clinics Hospital, Lexington, MS, CCN 251319
  • Hillsboro Area Hospital Hospital, Hillsboro, IL, CCN 141332

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
19227MSMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Hospitalist Physicians LLP CurrentSince Sep 30, 2022 Accepting new patients
Grand Traverse Physician Services PC Internal Medicine CurrentSince Jul 1, 2025 Accepting new patients
Grenada Emergency Group, LLC CurrentSince Dec 19, 2023 Accepting new patients
Hightower Physician Services, PC CurrentSince Dec 11, 2023 Accepting new patients
North Michigan Physician Services PC Internal Medicine CurrentSince Jul 1, 2025 Accepting new patients
Otsego Physician Services PC Internal Medicine CurrentSince Jul 1, 2025 Accepting new patients
Gloversville Physician Medicine Services PC CurrentSince Aug 30, 2022 Accepting new patients
Simed PC Internal Medicine CurrentSince Mar 1, 2021 Accepting new patients
Peach Physician Services, PC CurrentSince Apr 1, 2024 Accepting new patients
Wexford Physician Services PC Internal Medicine CurrentSince Jul 1, 2025 Accepting new patients
Hillsboro Area Hospital, Inc. CurrentSince Mar 1, 2025 Accepting new patients
Hillsboro Area Hospital, Inc. CurrentSince Mar 1, 2025 Accepting new patients
Macoupin Physician Services, PC Internal Medicine CurrentSince May 2, 2023 Accepting new patients
Hillsboro Area Hospital, Inc. Current Accepting new patients
Grenada Physician Services, LLC CurrentSince Apr 24, 2023 Accepting new patients

Locations

1960 Highway 247
Byron, GA 31008
Phone (478) 654-2000

801 W Gordon St
Thomaston, GA 30286
Phone (706) 647-4371

20733 N Broad St
Carlinville, IL 62626
Phone (217) 854-3141

1200 E Tremont St
Hillsboro, IL 62049
Phone (217) 532-4154

200 Corporate Blvd
Lafayette, LA 70508

400 Hobart St
Cadillac, MI 49601
Phone (231) 876-7200

14700 Lake Shore Dr
Charlevoix, MI 49720
Phone (231) 547-3840

6001 W Outer Dr
Ste 114
Detroit, MI 48235
Phone (313) 966-9095

825 N Center Ave
Gaylord, MI 49735
Phone (989) 731-2100

17177 N Laurel Park Dr
Ste 439
Livonia, MI 48152

1105 Sixth St
Traverse City, MI 49684
Phone (231) 922-9000

315 S Osteopathy Ave
Kirksville, MO 63501
Phone (660) 785-1000

1515 Union Ave
Moberly, MO 65270
Phone (660) 263-2400

960 Avent Dr
Grenada, MS 38901
Phone (662) 227-7000

239 Bowling Green Rd
Lexington, MS 39095
Phone (662) 834-1321

99 E State St
Gloversville, NY 12078
Phone (518) 773-5690

1001 Bellefontaine Ave
Lima, OH 45804
Phone (419) 228-3335

Interoperability endpoints

  • Direct secure messaging: rbarakat15633@ummc.direct-ci.com
  • Direct secure messaging: rbarakat2869520@carolinashealthcaresystem.direct-ci.com
  • Direct secure messaging: rbarakat137747@mymichiganhealth.midirect.net

Organizations & group practices 17

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.

View all 17

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1141862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695772800000",
    "number": "1104894880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 22ND AVE",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393013223",
            "telephone_number": "601-483-5322",
            "fax_number": "601-581-2289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 22ND AVE",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393013223",
            "telephone_number": "601-483-5322",
            "fax_number": "601-581-2289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARAKAT",
        "first_name": "RUBA",
        "middle_name": "F.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-09",
        "last_updated": "2023-09-27",
        "certification_date": "2023-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "01088406A",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301119101",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MS",
            "license": "19227",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04685716",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009936153",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF AL",
            "identifier": "731-04381",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Meridian, MS

Sources for this page

Verify at the official NPI Registry.