NPIMap

Individual provider Active NPI

Neil G Barry III, MD

  • Internal Medicine Physician
  • Middlesboro, KY
National Provider Identifier
1235125972
Registry record updated Sep 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25671 Issued in KY
Practice address
3004 Cumberland Ave
Medical Arts BLDG
Middlesboro, KY 40965-2343
Phone
(606) 248-4162
Fax
(606) 242-3429
NPI assigned
Sep 27, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 25671 KY Primary

Addresses

Primary practice location

3004 Cumberland Ave
Medical Arts BLDG
Middlesboro, KY 40965-2343

Mailing address

3004 Cumberland Ave
Medical Arts BLDG
Middlesboro, KY 40965-2343
Phone (606) 248-4162

Other identifiers 1

IdentifierTypeStateIssuer
64256712MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100216000392 KY Practitioner - Internal Medicine 7315844107 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Kentucky College of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Neil G Barry III MD IncGroup PAC ID 5496652240, 3 clinicians

Practice addresses (Care Compare)

3004 Cumberland Ave
Middlesboro, KY 40965-2343
Phone (606) 248-4162

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Neil G Barry III MD Inc Internal Medicine CurrentSince Jul 22, 1998 Accepting new patients
Appalachian Regional Healthcare, Inc PastSince Apr 30, 2003 Accepting new patients

Locations

3004 Cumberland Ave
Middlesboro, KY 40965
Phone (606) 248-3324

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Neil G Barry III MD IncMiddlesboro, KY, CCN 188998 Rural health clinic 5% Or Greater Direct Ownership Interest (100%)
Corporate Officer (100%)
Corporate Director (100%)
W-2 Managing Employee (100%)		 Jul 22, 1998
Jul 22, 1998
Jul 22, 1998
Jul 22, 1998

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

  • Neil G Barry III MD Inc
    • Internal Medicine Physician
    • Middlesboro, KY
    • NPI 1710085238

    5% Or Greater Direct Ownership Interest, Corporate Director, Corporate Officer, W-2 Managing Employee

    CMS ownership

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 and National Provider Directory roles.

Hospital & facility affiliations 10

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": "1127779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664150400000",
    "number": "1235125972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3004 CUMBERLAND AVE",
            "address_2": "MEDICAL ARTS BLDG",
            "city": "MIDDLESBORO",
            "state": "KY",
            "postal_code": "409652343",
            "telephone_number": "606-248-4162",
            "fax_number": "606-242-3429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3004 CUMBERLAND AVE",
            "address_2": "MEDICAL ARTS BLDG",
            "city": "MIDDLESBORO",
            "state": "KY",
            "postal_code": "409652343",
            "telephone_number": "606-248-4162",
            "fax_number": "606-242-3429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARRY",
        "first_name": "NEIL",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-27",
        "last_updated": "2022-09-26",
        "certification_date": "2022-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KY",
            "license": "25671",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64256712",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Middlesboro, KY

Sources for this page

Verify at the official NPI Registry.