Active NPI
Glenn D Barest, M.D.
- Neuroradiology Physician
- Boston, MA
National Provider Identifier
1326015967
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neuroradiology Physician
- License
- 150956
- Practice address
- 840 Harrison Ave
Boston, MA 02118-2905 - Phone
- (617) 638-6610
- Fax
- (617) 638-6616
- NPI assigned
- Mar 2, 2006
- Last updated
- Feb 11, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neuroradiology Physician | 2085N0700X | 150956 | MA | Primary |
Addresses
Primary practice location
840 Harrison Ave
Boston, MA 02118-2905
Mailing address
801 Albany St FL G
Boston, MA 02119-3791
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110057222A | Medicaid | MA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- University of Cincinnati College of Medicine, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
9085 SW 87TH Ave
Suite 200
Miami, FL 33176-2309
Phone (305) 412-3336
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Neighborhealth Corporation | Current | Accepting new patients | |
| Internal Medical Associates-Ebnhc | Current | Accepting new patients | |
| Evans Medical Foundation, Inc. | Past | Accepting new patients |
Locations
10 Grove St
East Boston, MA 02128
Phone (617) 569-5800
Organizations & group practices 4
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.
-
- Specialist
- Medley, FL
- NPI 1346217452
-
- Community Health Clinic/Center
- East Boston, MA
- NPI 1558481879
-
- Community Health Clinic/Center
- East Boston, MA
- NPI 1316994411
-
dba Boston University Internal Medicine Associates
- Internal Medicine Physician
- Boston, MA
- NPI 1912954124
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141257600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1644537600000",
"number": "1326015967",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "801 ALBANY ST FL G",
"city": "BOSTON",
"state": "MA",
"postal_code": "021193791"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "840 HARRISON AVE",
"city": "BOSTON",
"state": "MA",
"postal_code": "021182905",
"telephone_number": "617-638-6610",
"fax_number": "617-638-6616"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAREST",
"first_name": "GLENN",
"middle_name": "D",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-02",
"last_updated": "2022-02-11",
"certification_date": "2022-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "2085N0700X",
"taxonomy_group": "",
"desc": "Radiology, Neuroradiology",
"state": "MA",
"license": "150956",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "110057222A",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2022; 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.