Active NPI
Kevin J Barlog, M.D.
- Urology Physician
- Cheektowaga, NY
National Provider Identifier
1174520696
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 168798
- Practice address
- 3085 Harlem Rd
Ste 200
Cheektowaga, NY 14225-2563 - Phone
- (716) 844-5000
- Fax
- (716) 844-5050
- NPI assigned
- Jun 30, 2005
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | 168798 | NY | Primary |
Addresses
Primary practice location
3085 Harlem Rd
Ste 200
Cheektowaga, NY 14225-2563
Mailing address
3085 Harlem Rd
Suite 350
Cheektowaga, NY 14225-2591
Phone (716) 844-5600
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01018015 | Medicaid | NY | |
| 168798-7 | Other | NY | WORKERS COMP |
| 1902078 | Other | NY | INDEPENDENT HEALTH |
| 00020002801 | Other | NY | UNIVERA |
| 000504322002 | Other | NY | BCBS OF WNY |
| 040426001755 | Other | NY | FIDELIS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120089600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1439424000000",
"number": "1174520696",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3085 HARLEM RD",
"address_2": "SUITE 350",
"city": "CHEEKTOWAGA",
"state": "NY",
"postal_code": "142252591",
"telephone_number": "716-844-5600",
"fax_number": "716-844-5750"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3085 HARLEM RD",
"address_2": "STE 200",
"city": "CHEEKTOWAGA",
"state": "NY",
"postal_code": "142252563",
"telephone_number": "716-844-5000",
"fax_number": "716-844-5050"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARLOG",
"first_name": "KEVIN",
"middle_name": "J",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-30",
"last_updated": "2015-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "NY",
"license": "168798",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01018015",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WORKERS COMP",
"identifier": "168798-7",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDEPENDENT HEALTH",
"identifier": "1902078",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNIVERA",
"identifier": "00020002801",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF WNY",
"identifier": "000504322002",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIDELIS",
"identifier": "040426001755",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Cheektowaga, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.