Individual provider Active NPI

Barry Eliot Cole, MD

  • Psychiatry Physician
  • Las Vegas, NV
National Provider Identifier
1114073913
Registry record updated Dec 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
G-46028 Issued in CA
Practice address
10035 Claverton CT
Las Vegas, NV 89148
Phone
(702) 497-2235
Fax
(917) 551-6605
NPI assigned
Jan 25, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 4, 2020

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

Specialties & licenses 9

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X MD2014-0518 NM
Pain Medicine (Psychiatry & Neurology) Physician 2084P2900X MD-11569 HI
Pain Medicine (Psychiatry & Neurology) Physician 2084P2900X MD30799 AL
Psychiatry Physician 2084P0800X G-46028 CA Primary
Psychiatry Physician 2084P0800X MD30799 AL
Psychiatry Physician 2084P0800X 48723 AZ
Psychiatry Physician 2084P0800X R-4145 AR
Neurology Physician 2084N0400X MD-11569 HI
Psychiatry Physician 2084P0800X 5372 NV

Addresses

Primary practice location

10035 Claverton CT
Las Vegas, NV 89148

Mailing address

10035 Claverton CT
Las Vegas, NV 89148-4769
Phone (702) 497-2235

Other practice location 1

500 N 9th St
Modesto, CA 95350-5814
Phone (209) 558-4639

Other identifiers 2

IdentifierTypeStateIssuer
0000237297OtherHIHMSA BILLING NUMBER
517732-03MedicaidHI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV, CA2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20160107002980 NV Practitioner - PsychiatryPractitioner - Pain Management 7214061969 Reassigns benefits to 1 organization
I20200507001395 CA Practitioner - PsychiatryPractitioner - Pain Management 7214061969 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
PsychiatryAlso: Pain Management
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
County of NevadaGroup PAC ID 3072402999, 17 clinicians

Practice addresses (Care Compare)

500 Crown Point Cir
Suite 120
Grass Valley, CA 95945-9561
Phone (530) 265-1437

Merit-based Incentive Payment System (MIPS)

Final score
81.49 of 100Reported as group
Quality
60.52
Promoting interoperability
100
Improvement activities
40
Cost
68.7

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
48723AZMDPsychiatry Physician
G-46028CAMDPsychiatry Physician
MD2014-0518NMMDPsychiatry Physician
MD30799ALMDPain Medicine (Psychiatry & Neurology) Physician
MD-11569HIMDPain Medicine (Psychiatry & Neurology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
State of Nevada CurrentSince Apr 1, 2016 Accepting new patients
Enloe Medical Center CurrentSince Aug 8, 2023 Accepting new patients
State of Nevada Current Accepting new patients
State of Nevada CurrentSince Apr 1, 2016 Accepting new patients
Enloe Medical Center CurrentSince Aug 8, 2023 Accepting new patients

Locations

560 Cohasset Rd
Chico, CA 95926
Phone (530) 332-4470

1600 Esplanade
Ste C
Chico, CA 95926
Phone (530) 332-4470

4150 Technology Way
Ste 100
Carson City, NV 89706

Organizations & group practices 6

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": "1169683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607040000000",
    "number": "1114073913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10035 CLAVERTON CT",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891484769",
            "telephone_number": "702-497-2235",
            "fax_number": "917-551-6605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10035 CLAVERTON CT",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89148",
            "telephone_number": "702-497-2235",
            "fax_number": "917-551-6605"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 N 9th St",
            "address_purpose": "LOCATION",
            "city": "Modesto",
            "state": "CA",
            "postal_code": "953505814",
            "country_code": "US",
            "telephone_number": "209-558-4639",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COLE",
        "first_name": "BARRY",
        "middle_name": "ELIOT",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-25",
        "last_updated": "2020-12-04",
        "certification_date": "2020-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NM",
            "license": "MD2014-0518",
            "primary": false
        },
        {
            "code": "2084P2900X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Pain Medicine",
            "state": "HI",
            "license": "MD-11569",
            "primary": false
        },
        {
            "code": "2084P2900X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Pain Medicine",
            "state": "AL",
            "license": "MD30799",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "G-46028",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AL",
            "license": "MD30799",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AZ",
            "license": "48723",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AR",
            "license": "R-4145",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "HI",
            "license": "MD-11569",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NV",
            "license": "5372",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMSA BILLING NUMBER",
            "identifier": "0000237297",
            "state": "HI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "517732-03",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.