Individual provider Active NPI

Ricardo B Barboza, M.D.

  • Diagnostic Radiology Physician
  • Columbus, OH
National Provider Identifier
1285609065
Registry record updated Jun 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
35-06-4467-B Issued in OH
Practice address
111 S Grant Ave
3Rd Floor Radiology Dept
Columbus, OH 43215-4701
Phone
(614) 566-9231
Fax
(614) 566-8385
NPI assigned
Feb 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 35-06-4467-B OH Primary

Addresses

Primary practice location

111 S Grant Ave
3Rd Floor Radiology Dept
Columbus, OH 43215-4701

Mailing address

PO Box 7169
Columbus, OH 43205-0169
Phone (614) 221-3303

Other identifiers 1

IdentifierTypeStateIssuer
0914130MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20050614000207 OH Practitioner - Diagnostic Radiology 0648214403 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301044280MIMDSpecialist
4467OHMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Columbus Radiology Corp Diagnostic Radiology CurrentSince Jan 1, 2001 Accepting new patients
Dr TC Hobbs & Associates Inc Diagnostic Radiology Past Accepting new patients
Intelligent Imaging Resources LLC Diagnostic Radiology Past Accepting new patients
University Radiologists Inc Diagnostic Radiology Past Accepting new patients
Dr L Reynolds Assoc PC Past Accepting new patients
Osu Radiology LLC Diagnostic Radiology Past Accepting new patients

Locations

3300 Mercy Health Blvd
Cincinnati, OH 45211
Phone (513) 215-1114

111 S Grant Ave
Fl 3
Columbus, OH 43215
Phone (614) 566-9871

410 W 10th Ave
Columbus, OH 43210
Phone (614) 293-5905

111 S Grant Ave
Columbus, OH 43215
Phone (614) 461-3232

12554 Riata Vista Cir
Fl 1
Austin, TX 78727

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1140652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403827200000",
    "number": "1285609065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7169",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432050169",
            "telephone_number": "614-221-3303",
            "fax_number": "614-464-2281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 S GRANT AVE",
            "address_2": "3RD FLOOR RADIOLOGY DEPT",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432154701",
            "telephone_number": "614-566-9231",
            "fax_number": "614-566-8385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARBOZA",
        "first_name": "RICARDO",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-23",
        "last_updated": "2014-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OH",
            "license": "35-06-4467-B",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0914130",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.