Active NPI
Kenneth R Barraza, M.D.
- Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician
- Flowood, MS
National Provider Identifier
1124063920
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician
- License
- 10675
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 70.12 of 100
- 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Plastic Surgery Associates of Ms | Plastic Surgery | Current | Accepting new patients |
| Plastic & Hand Surgery Associates PLLC | Plastic Surgery | Current | 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
- 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.
-
- Plastic Surgery Physician
- Flowood, MS
- NPI 1932126695
-
- Plastic Surgery Physician
- Flowood, MS
- NPI 1063396257
-
- Plastic Surgery Physician
- Jackson, MS
- NPI 1083798029
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.