Individual provider Active NPI

Tarek Barbar, M.D.

  • Internal Medicine Physician
  • Chubbuck, ID
National Provider Identifier
1306371398
Registry record updated Dec 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
M-16406 Issued in ID
Practice address
4511 Zebe Ave
Chubbuck, ID 83202-4707
Phone
(208) 904-4780
Fax
(089) 044-8322
NPI assigned
Apr 27, 2017
Last updated
Dec 8, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Internal Medicine Physician 207R00000X M-16406 ID Primary

Addresses

Primary practice location

4511 Zebe Ave
Chubbuck, ID 83202-4707

Mailing address

4511 Zebe Ave
Chubbuck, ID 83202-4707
Phone (208) 904-4780

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID
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
I20220517000806 ID Practitioner - Internal Medicine 4284972894 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
BMH IncGroup PAC ID 8426149758, 137 clinicians
Idaho Kidney Institute LLPGroup PAC ID 9032155312, 14 clinicians

Practice addresses (Care Compare)

315 W Idaho St
Blackfoot, ID 83221-1711
Phone (208) 782-3990

4511 Zebe Ave
Chubbuck, ID 83202-4707
Phone (208) 904-4780

98 Poplar St
Blackfoot, ID 83221-1758
Phone (208) 785-4100

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
M-16406IDMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Idaho Kidney Institute LLP Nephrology CurrentSince May 1, 2022 Accepting new patients
BMH Inc. CurrentSince Jul 1, 2022 Accepting new patients
BMH, Inc. Internal Medicine Current Accepting new patients
BMH, Inc. CurrentSince Jul 1, 2022 Accepting new patients
BMH Inc Current Accepting new patients
Transtreme, LLC PastSince May 1, 2022 Accepting new patients

Locations

235 Poplar St
Blackfoot, ID 83221
Phone (208) 785-3828

315 W Idaho St
Blackfoot, ID 83221
Phone (208) 782-3990

98 Poplar St
Blackfoot, ID 83221
Phone (208) 782-3763

1501 Hiland Ave
Ste M
Burley, ID 83318
Phone (208) 352-7555

1259 Pier View Dr
Idaho Falls, ID 83402

2381 E Sunnyside Rd
Idaho Falls, ID 83404
Phone (208) 523-8500

350 N Haven Dr
Twin Falls, ID 83301
Phone (208) 735-3914

Interoperability endpoints

  • Direct secure messaging: tarekbarbar@bmh.medalliesdirect.net
  • Direct secure messaging: tbarbar709083@ahs.direct-ci.com

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

Hospital & facility affiliations 8

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": "1493251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670457600000",
    "number": "1306371398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4511 ZEBE AVE",
            "city": "CHUBBUCK",
            "state": "ID",
            "postal_code": "832024707",
            "telephone_number": "208-904-4780",
            "fax_number": "089-044-8322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4511 ZEBE AVE",
            "city": "CHUBBUCK",
            "state": "ID",
            "postal_code": "832024707",
            "telephone_number": "208-904-4780",
            "fax_number": "089-044-8322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARBAR",
        "first_name": "TAREK",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-27",
        "last_updated": "2022-12-08",
        "certification_date": "2022-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "ID",
            "license": "M-16406",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chubbuck, ID

Sources for this page

Verify at the official NPI Registry.