Individual provider Active NPI

Barry Crawford

  • Medical Physician Assistant
  • Ypsilanti, MI
National Provider Identifier
1285163097
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
5601008202 Issued in MI
Practice address
5333 McAuley Dr RM 6016
Ypsilanti, MI 48197-1005
Phone
(734) 712-8350
Fax
(734) 712-8351
NPI assigned
Jun 6, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 5601008202 MI Primary

Addresses

Primary practice location

5333 McAuley Dr RM 6016
Ypsilanti, MI 48197-1005

Mailing address

5333 McAuley Dr RM 6016
Ypsilanti, MI 48197-1005
Phone (734) 712-8350

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170628000316 MI Practitioner - Physician Assistant 9638448012 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Huron Valley Radiology PCGroup PAC ID 2961466859, 76 clinicians

Practice addresses (Care Compare)

36475 5 Mile Rd
Livonia, MI 48154-1971
Phone (734) 655-4800

5301 McAuley Dr
Ypsilanti, MI 48197-1051
Phone (734) 712-3456

5303 Elliott Dr
Suite 2661
Ypsilanti, MI 48197-8632
Phone (734) 712-0280

7575 Grand River Rd
Suite 103
Brighton, MI 48114-9390
Phone (866) 522-8268

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5601008202MIMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
X-Ray Consultants Inc CurrentSince Apr 1, 2024 Accepting new patients

Locations

7575 Grand River Rd
Ste 103
Brighton, MI 48114
Phone (866) 522-8268

5333 McAuley Dr
Rm 6016
Ypsilanti, MI 48197

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

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": "1496707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1285163097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5333 MCAULEY DR RM 6016",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481971005",
            "telephone_number": "734-712-8350",
            "fax_number": "734-712-8351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5333 MCAULEY DR RM 6016",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481971005",
            "telephone_number": "734-712-8350",
            "fax_number": "734-712-8351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRAWFORD",
        "first_name": "BARRY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-06",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MI",
            "license": "5601008202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ypsilanti, MI

Sources for this page

Verify at the official NPI Registry.