Barry Eiichi Shibuya, M.D.

Primary specialty

Rheumatology PhysicianTaxonomy code 207RR0500X

License

A72682 Issued in CA

Practice address

3775 Beacon Ave
Suite 100
Fremont, CA 94538-1466

Phone

(510) 791-1300

Fax

(510) 791-1301

NPI assigned

May 8, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA, HI2 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

Specialty

RheumatologyAlso: Internal Medicine

Education

University of Hawaii John a. Burns School of Medicine, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Telemedicine Group PCGroup PAC ID 9830351824, 94 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: admin@fremontrheumatology.e-mdsdirect.com
• Direct secure messaging: telemed2u.barryshibuya@160918.advancedmd-direct.com
• FHIR API: https://fhir4.healow.com/fhir/r4/FDJGBA

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.

• Telehealth Specialty Medical Group

  • Emergency Medicine Physician
  • Roseville, CA
  • NPI 1326338237
  Medicare reassignment Care Compare group NPD
• Livwell Health LLC

  • Rheumatology Physician
  • Scottsdale, AZ
  • NPI 1811527732

  HI

  Medicare reassignment NPD
• Straub Clinic & Hospital

  • Multi-Specialty Clinic/Center
  • Honolulu, HI
  • NPI 1457306508
  Medicare reassignment NPD
• Thaila Ramanujam M D Inc

  • Specialist
  • Santa Cruz, CA
  • NPI 1700056280

  Rheumatology

  NPD
• Straub Clinic & Hospital

  • Community/Retail Pharmacy
  • Honolulu, HI
  • NPI 1295443216
  NPD
• Tele-Medicine Services Ny, PLLC

  • Internal Medicine Physician
  • Roseville, CA
  • NPI 1609663780
  NPD (past)

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

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321488000000",
    "number": "1275746935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3775 BEACON AVE",
            "address_2": "SUITE 100",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945381466",
            "telephone_number": "510-791-1300",
            "fax_number": "510-791-1301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3775 BEACON AVE",
            "address_2": "SUITE 100",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945381466",
            "telephone_number": "510-791-1300",
            "fax_number": "510-791-1301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIBUYA",
        "first_name": "BARRY",
        "middle_name": "EIICHI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-08",
        "last_updated": "2011-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "CA",
            "license": "A72682",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A7268210",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Puja Dipak Sheth, MD
• Jinghua Shi, M.D.
• Viviena Bernice Shia, DPT
• Shiao Chun Dora Hu
• Nancy Carol Shibata, MA LMFT
• Kayla Shick
• Dikla R Shidlov-Cohen, PSY.D.
• Katie Rose Shieh, AMFT
• Jacqueline Shiels
• Chuan Fang Shih, M.D.

• Rheumatology Physician in Fremont, CA
• Providers in Fremont, CA by specialty
• Rheumatology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.