Jody M Barber, MD
Individual provider Active NPI Diagnostic Radiology Physician · Mishawaka, IN
NPI 1316919293 · NPPES record last updated May 16, 2013
Key facts
- NPI
- 1316919293
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Diagnostic Radiology Physician 2085R0202X
- License
- 01054618A (IN)
- Practice address
- 620 W Edison Rd
Ste 110
Mishawaka, IN 46545-2784 - Phone
- (574) 258-1100
- Fax
- (574) 258-1101
- NPI assigned
- Feb 3, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Hospital & facility affiliations 20
Medicare Care Compare profile
- Specialty
- Diagnostic Radiology
- Education
- Indiana University School of Medicine, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Radiologic Consultants, LTD
Practice addresses (Care Compare)
29395 Montauk LN
Elkhart, IN 46517-8574
Phone (724) 830-8566
Hospital & facility affiliations
- Excela Health Westmoreland Regional Hospital
- Excela Health - Frick Hospital
- Excela Health Latrobe Hospital
- Magee Womens Hospital of Upmc Health System
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in IN, MI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050713000146 | IN | Practitioner - Diagnostic Radiology | 4082640859 | Reassigns benefits to 2 organizations |
| I20220803001519 | MI | Practitioner - Diagnostic Radiology | 4082640859 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01054618A | IN | MD | Pediatric Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Diagnostic Imaging Associates | Diagnostic Radiology | Current |
Accepting new patients |
| Radiologic Consultants, LTD | Diagnostic Radiology | Current |
Accepting new patients |
| Indiana University Radiology Associates, Inc. | Neuroradiology | Past | Accepting new patients |
| Indiana Radiology Partners, Inc | Body Imaging | Past | Accepting new patients |
Locations
1100 Summit Dr
#100
Greensburg, PA 15601
Phone (724) 837-7930
532 W Pittsburgh St
Greensburg, PA 15601
Phone (724) 832-4000
1 Mellon Way
Latrobe, PA 15650
Phone (724) 537-1207
508 S Church St
Mt Pleasant, PA 15666
Phone (724) 547-1500
Interoperability endpoints
- jbarber524629@direct.franciscanalliance.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 01054618A | IN | Yes |
| Body Imaging Physician | 2085B0100X | 01054618A | IN | |
| Neuroradiology Physician | 2085N0700X | 01054618A | IN | |
| Nuclear Radiology Physician | 2085N0904X | 01054618A | IN | |
| Pediatric Radiology Physician | 2085P0229X | 01054618A | IN | |
| Therapeutic Radiology Physician | 2085R0203X | 01054618A | IN | |
| Vascular & Interventional Radiology Physician | 2085R0204X | 01054618A | IN | |
| Diagnostic Ultrasound Physician | 2085U0001X | 01054618A | IN |
Addresses
Primary practice location
620 W Edison Rd
Ste 110
Mishawaka, IN 46545-2784
Mailing address
620 W Edison Rd
Ste 110
Mishawaka, IN 46545-2784
Phone (574) 258-1100
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200523810 | Medicaid | IN |
Other providers in Mishawaka, IN
- Robert Balliet
- Carol Ann Banks
- Latisha Banks
- Olivia Larren Banks
- Jialin Bao
- Lachelle L Barnett
- Nikole Suzanne Barrett
- Barroso Therapy Services LLC
- Lacey Barroso
- Thomas Barry
All providers in Mishawaka, IN · Diagnostic Radiology Physician in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 16, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.