Individual provider Active NPI

Barry L Bakst, D.O.

  • Sports Medicine (Physical Medicine & Rehabilitation) Physician
  • Wilmington, DE
National Provider Identifier
1235154741
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081S0010X
License
C20002764 Issued in DE
Practice address
2006 Foulk Rd
Suite B
Wilmington, DE 19810-3644
Phone
(302) 529-8783
Fax
(302) 529-7470
NPI assigned
Jul 13, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Physical Medicine & Rehabilitation) Physician 2081S0010X C20002764 DE Primary

Addresses

Primary practice location

2006 Foulk Rd
Suite B
Wilmington, DE 19810-3644

Mailing address

2006 Foulk Rd
Suite B
Wilmington, DE 19810-3644
Phone (302) 529-8783

Other identifiers 14

IdentifierTypeStateIssuer
2445310OtherDECIGNA
510329923OtherDEUNITED HEALTH CARE
510329923OtherDETRICARE
P3278310OtherDEOXFORD HEALTH PLAN
0000102003MedicaidDE
2008059OtherDEAETNA-HMO
4295831OtherDEAETNA-PPO
510329923OtherDEDEVON NETWORK
293733OtherDEMAMSI
0000102003OtherDEDE PHYSICIANS CARE
250008397OtherDERAILROAD MEDICARE
44003OtherCTCOVENTRY
0091456000OtherDEAMERIHEALTH-HMO
193245OtherDEAMERIHEALTH-PPO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
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
I20101129000502 DE Practitioner - Physical Medicine and Rehabilitation 4880623396 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Rehabilitation Associates CurrentSince Jul 29, 1986 Accepting new patients
Rehabilitation Associates, P.a. CurrentSince Jul 29, 1986 Accepting new patients

Locations

200 Biddle Ave
Ste 204
Newark, DE 19702
Phone (302) 832-3369

2600 Glasgow Ave
Ste 210
Newark, DE 19702
Phone (302) 529-8783

87 Omega Dr
#B
Newark, DE 19713
Phone (302) 733-0980

2006 Foulk Rd
Ste B
Wilmington, DE 19810
Phone (302) 529-8783

Organizations & group practices 7

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1235154741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2006 FOULK RD",
            "address_2": "SUITE B",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198103644",
            "telephone_number": "302-529-8783",
            "fax_number": "302-529-7470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2006 FOULK RD",
            "address_2": "SUITE B",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198103644",
            "telephone_number": "302-529-8783",
            "fax_number": "302-529-7470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKST",
        "first_name": "BARRY",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081S0010X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": "DE",
            "license": "C20002764",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "2445310",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "510329923",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "510329923",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD HEALTH PLAN",
            "identifier": "P3278310",
            "state": "DE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0000102003",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA-HMO",
            "identifier": "2008059",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA-PPO",
            "identifier": "4295831",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEVON NETWORK",
            "identifier": "510329923",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI",
            "identifier": "293733",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DE PHYSICIANS CARE",
            "identifier": "0000102003",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "250008397",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COVENTRY",
            "identifier": "44003",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH-HMO",
            "identifier": "0091456000",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH-PPO",
            "identifier": "193245",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

Verify at the official NPI Registry.