Michael Barajas, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

085.006179 Issued in IL

Practice address

6812 State Route 162
Suite 120
Maryville, IL 62062-8553

Phone

(618) 288-0044

Fax

(618) 288-0066

NPI assigned

May 12, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: michael.barajas@552337174953988.direct.elationemr.com

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.

• Mercy Clinic East Communities

  • Internal Medicine Physician
  • Saint Louis, MO
  • NPI 1851335228
  Medicare reassignment NPD

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

{
    "created_epoch": "1494547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494547200000",
    "number": "1114454733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6812 STATE ROUTE 162",
            "address_2": "SUITE 120",
            "city": "MARYVILLE",
            "state": "IL",
            "postal_code": "620628553",
            "telephone_number": "618-288-0044",
            "fax_number": "618-288-0066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6812 STATE ROUTE 162",
            "address_2": "SUITE 120",
            "city": "MARYVILLE",
            "state": "IL",
            "postal_code": "620628553",
            "telephone_number": "618-288-0044",
            "fax_number": "618-288-0066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARAJAS",
        "first_name": "MICHAEL",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-05-12",
        "last_updated": "2017-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": "085.006179",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sharon Kay Baird
• David Michael Baker, LPN
• Norah Claire Farley Baker, M.D.
• Bandys Prescriptions, Inc
• Rahul Bansal, MD
• Jason E Barnett, MD
• Nicholas Bauder, APN
• Cindy A Bauer, OTR
• Jennifer Bauer, CRNA
• Yvonne Elaine Baumrucker, DPM

• Physician Assistant in Maryville, IL
• Providers in Maryville, IL by specialty
• Physician Assistant in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.