Michel Maroun Barakat, MD
Individual provider Active NPI Emergency Medicine Physician · Bountiful, UT
NPI 1134411341 · NPPES record last updated Jan 4, 2017
Key facts
- NPI
- 1134411341
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- License
- 26006 (WV)
- Practice address
- 3837 Huntington Dr
Bountiful, UT 84010-5842 - Phone
- (801) 815-2344
- NPI assigned
- May 5, 2011
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 8
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (3 enrollments) in WV, TX, WA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170110000036 | WV | Practitioner - Emergency Medicine | 0547562209 | Reassigns benefits to 2 organizations |
| I20181001000374 | TX | Practitioner - Cardiovascular Disease (Cardiology) | 0547562209 | Reassigns benefits to 1 organization |
| I20191114000692 | WA | Practitioner - Cardiovascular Disease (Cardiology) |
0547562209 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Beckley Emergency Physicians LLC | Emergency Medicine | Current |
Accepting new patients |
| Eagle Butte Indian Health Service Hospital | Current |
Accepting new patients | |
| Peacehealth Medical Group - Sedro Woolley | Current |
Accepting new patients | |
| Summers Emergency Physicians LLC | Emergency Medicine | Current |
Accepting new patients |
| Peacehealth | Current |
Accepting new patients | |
| Peacehealth | Current | Accepting new patients | |
| Peacehealth | Emergency Medicine | Current |
Accepting new patients |
| Peacehealth | Past | Accepting new patients |
Locations
3100 Tongass Ave
Ketchikan, AK 99901
Phone (907) 225-4104
3015 Squalicum Pkwy
Ste 200
Bellingham, WA 98225
Phone (360) 733-2092
3015 Squalicum Pkwy
Ste 100
Bellingham, WA 98225
Phone (360) 715-4186
835 E Fairhaven Ave
Burlington, WA 98233
Phone (360) 755-0641
1117 Spring St
Friday Harbor, WA 98250
Phone (360) 378-1738
1115 SE 164th Ave
Dept 358
Vancouver, WA 98683
Phone (360) 729-1253
306 Stanaford Rd
Beckley, WV 25801
Phone (304) 255-3373
115 Summers Hospital Rd
Hinton, WV 25951
Phone (304) 466-2918
Interoperability endpoints
- mbarakat421148@direct.peacehealth.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Emergency Medicine Physician | 207P00000X | 26006 | WV | Yes |
Addresses
Primary practice location
3837 Huntington Dr
Bountiful, UT 84010-5842
Mailing address
3837 Huntington Dr
Bountiful, UT 84010-5842
Phone (801) 815-2344
Other providers in Bountiful, UT
- Emerald Baker
- Jessie Balicki
- Lindsey Ballard
- Jennifer M Bangs
- Saige Banks
- Jamie Fife Barkdull
- Lyndy Kistine Barnard
- Lisa Ena Barnes
- Eva Melissa Barnett
- Jesse Barp
All providers in Bountiful, UT · Emergency Medicine Physician in Utah
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 4, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.