Individual provider Active NPI

Barry M Wilkes, M.D.

  • Nephrology Physician
  • New York, NY
National Provider Identifier
1134217995
Registry record updated Nov 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
124244 Issued in NY
Practice address
885 Park Ave Ste 1a
New York, NY 10021-0325
Phone
(212) 861-3534
Fax
(212) 794-7295
NPI assigned
Oct 10, 2006
Last updated
Nov 12, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 12, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 124244 NY Primary

Addresses

Primary practice location

885 Park Ave Ste 1a
New York, NY 10021-0325

Mailing address

PO Box 613
New York, NY 10028-0006
Phone (212) 861-3534

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20050502000158 NY Practitioner - Nephrology 9739128513 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
JS Weill Medical College, Cornell University, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

885 Park Ave
Suite 1a
New York, NY 10021-0325
Phone (212) 861-3534

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
40.89 of 100Reported as individual
Quality
25
Improvement activities
0
Cost
76.5

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
124244NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Barry M. Wilkes, M.D., P.C. Nephrology CurrentSince Jan 1, 2002 Accepting new patients
LHHN Medical, P.C. Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: bwilkes66897@northwell.direct-ci.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

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": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1289520000000",
    "number": "1134217995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 613",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100280006",
            "telephone_number": "212-861-3534",
            "fax_number": "212-794-7295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "885 PARK AVE STE 1A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100210325",
            "telephone_number": "212-861-3534",
            "fax_number": "212-794-7295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILKES",
        "first_name": "BARRY",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-10",
        "last_updated": "2010-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NY",
            "license": "124244",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.