Individual provider Active NPI

Trajan Barrera, DO

  • Family Medicine Physician
  • Lebanon, PA
National Provider Identifier
1154982221
Registry record updated Jun 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OT019582 Issued in PA
Practice address
30 N 4TH St
Lebanon, PA 17046-5606
Phone
(717) 270-1949
Fax
(717) 270-1958
NPI assigned
Jun 27, 2019
Last updated
Jun 27, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OT019582 PA Primary

Addresses

Primary practice location

30 N 4TH St
Lebanon, PA 17046-5606

Mailing address

30 N 4TH St
Lebanon, PA 17046-5606
Phone (717) 270-1949

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, LA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20220808000062 PA Practitioner - Family PracticePractitioner - Osteopathic Manipulative Medicine 0345578860 Reassigns benefits to 1 organization
I20240528002686 LA Practitioner - Family Practice 0345578860 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Rowan University School of Osteopathic Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Belle Chasse Physician Services LLCGroup PAC ID 9335379379, 258 clinicians

Practice addresses (Care Compare)

100 Medical Ctr Dr
Slidell, LA 70461-5520
Phone (985) 646-5100

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Belle Chasse Physician Services LLC CurrentSince Apr 20, 2024 Accepting new patients
Concordia Hospice of Washington Family Medicine CurrentSince Jul 18, 2022 Accepting new patients
Upmc Washington Family Medicine CurrentSince Jul 18, 2022 Accepting new patients
Slidell Memorial Hospital Past Accepting new patients

Locations

180 W Esplanade Ave
Kenner, LA 70065
Phone (504) 464-8284

100 Medical Center Dr
Slidell, LA 70461
Phone (504) 392-3131

155 Wilson Ave
Washington, PA 15301
Phone (724) 223-3342

95 Leonard Ave
Washington, PA 15301
Phone (724) 223-3100

95 Leonard Ave
Bldg 2
Washington, PA 15301
Phone (724) 223-3100

Interoperability endpoints

  • Direct secure messaging: tbarrera2205173@direct.ochsner.org

Organizations & group practices 4

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 3

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": "1561593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561593600000",
    "number": "1154982221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 N 4TH ST",
            "city": "LEBANON",
            "state": "PA",
            "postal_code": "170465606",
            "telephone_number": "717-270-1949",
            "fax_number": "717-270-1958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 N 4TH ST",
            "city": "LEBANON",
            "state": "PA",
            "postal_code": "170465606",
            "telephone_number": "717-270-1949",
            "fax_number": "717-270-1958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARRERA",
        "first_name": "TRAJAN",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-27",
        "last_updated": "2019-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OT019582",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lebanon, PA

Sources for this page

Verify at the official NPI Registry.