Luis Barbe, MD
Individual provider Active NPI Surgery Physician · Roseville, MI
NPI 1245295161 · NPPES record last updated Jul 21, 2008
Key facts
- NPI
- 1245295161
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Surgery Physician 208600000X
- License
- LB034289 (MI)
- Practice address
- 25990 Kelly Rd
Suite 1
Roseville, MI 48066-4483 - Phone
- (586) 445-0950
- Fax
- (586) 445-9866
- NPI assigned
- Apr 20, 2006
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LB034289 | MI | MD | Surgery Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | LB034289 | MI | Yes |
Addresses
Primary practice location
25990 Kelly Rd
Suite 1
Roseville, MI 48066-4483
Mailing address
25990 Kelly Rd
Suite 1
Roseville, MI 48066-4483
Phone (586) 445-0950
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3405003101 | Other | MI | BCBSM |
| 020042879 | Other | MI | RAILROAD MEDICARE PIN |
| 1099590 | Medicaid | MI |
Other providers in Roseville, MI
- Jesse Bacon
- Andrew Amit Bajaj
- Maria Balleza
- Bancs & Kings Home Help Services L.L.C.
- Lamika Banks
- Brian A. Barbish
- Nicholas Tyler Barjaktarovich
- Denella Shavon Barker
- Joana Barth
- Lori Ann Bazzetta
All providers in Roseville, MI · Surgery Physician in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.