Individual provider Active NPI

Kenneth R Barraza, M.D.

  • Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician
  • Flowood, MS
National Provider Identifier
1124063920
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery Within the Head and Neck (Plastic Surgery) PhysicianTaxonomy code 2082S0099X
License
10675 Issued in MS
Practice address
2550 Flowood Dr
Suite 200
Flowood, MS 39232-9303
Phone
(601) 939-9999
Fax
(601) 939-0590
NPI assigned
Jun 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X 10675 MS
Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician 2082S0099X 10675 MS Primary

Addresses

Primary practice location

2550 Flowood Dr
Suite 200
Flowood, MS 39232-9303

Mailing address

2550 Flowood Dr
Suite 200
Flowood, MS 39232-9303
Phone (601) 939-9999

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
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 1

Enrollment IDStateProvider typePAC IDDetails
I20120127000675 MS Practitioner - Plastic and Reconstructive SurgeryPractitioner - Hand Surgery 8224032149 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
70.12 of 100Reported as group
Quality
75.54
Improvement activities
40
Cost
33.03

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Plastic Surgery Associates of Ms Plastic Surgery CurrentSince Oct 9, 2025 Accepting new patients
Plastic & Hand Surgery Associates PLLC Plastic Surgery CurrentSince Oct 1, 2001 Accepting new patients
The Clinic of Plastic Surgery, P.a. Plastic Surgery Past Accepting new patients

Locations

114 Market St
#200
Flowood, MS 39232
Phone (601) 936-0466

2550 Flowood Dr
Ste 200
Flowood, MS 39232
Phone (601) 936-0927

2550 Flowood Dr
Ste 102
Flowood, MS 39232
Phone (601) 936-2393

Interoperability endpoints

  • Direct secure messaging: plasticandhandsurgeryassociates.kennethbarraza@117430.advancedmd-direct.com

Organizations & group practices 3

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": "1150502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1124063920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2550 FLOWOOD DR",
            "address_2": "SUITE 200",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "392329303",
            "telephone_number": "601-939-9999",
            "fax_number": "601-939-0590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2550 FLOWOOD DR",
            "address_2": "SUITE 200",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "392329303",
            "telephone_number": "601-939-9999",
            "fax_number": "601-939-0590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARRAZA",
        "first_name": "KENNETH",
        "middle_name": "R",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-17",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "MS",
            "license": "10675",
            "primary": false
        },
        {
            "code": "2082S0099X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery, Plastic Surgery Within the Head and Neck",
            "state": "MS",
            "license": "10675",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flowood, MS

Sources for this page

Verify at the official NPI Registry.