Active NPI
Abdul R Barakat, MD
- Pain Medicine (Anesthesiology) Physician
- West Branch, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- License
- 4301117172
- Practice address
- 335 E Houghton Ave
West Branch, MI 48661 - Phone
- (989) 343-3730
- NPI assigned
- Apr 10, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | 4301117172 | MI | Primary |
| Anesthesiology Physician | 207L00000X | MD11449 | RI | |
| Anesthesiology Physician | 207L00000X | 219701 | MA | |
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | MD11449 | RI | |
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | 219701 | MA |
Addresses
Primary practice location
335 E Houghton Ave
West Branch, MI 48661
Mailing address
335 E Houghton Ave
West Branch, MI 48661-1127
Other practice location 1
555 W Wackerly Rd
St 2600
Midland, MI 48661-1127
Phone (898) 324-2029
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2060850 | Medicaid | MA | |
| 7056609 | Medicaid | RI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230614001686 | NY | Practitioner - Anesthesiology | 1355316902 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Other, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- U of R Anesthesiology Group
Practice addresses (Care Compare)
601 Elmwood Ave
Rochester, NY 14642-0001
Phone (585) 275-2141
Hospital & facility affiliations
- Strong Memorial Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 302251 | NY | MD | Licensed Practical Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| U of R Anesthesiology Group | Anesthesiology | Current | Accepting new patients |
| Anesthetics of Massachusetts, PC | Anesthesiology | Past | Accepting new patients |
| Anesthetics of Lowell, PC | Anesthesiology | Past | Accepting new patients |
| Northern Rhode Island Anesthesia Associates, PC | Anesthesiology | Past | Accepting new patients |
Locations
601 Elmwood Ave
#604
Rochester, NY 14642
Phone (585) 275-2141
Interoperability endpoints
- abarakat571370@direct.hfhs.org
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 and National Provider Directory roles.
-
- Anesthesiology Physician
- Rochester, NY
- NPI 1609806488
Anesthesiology, NY
-
- Certified Registered Nurse Anesthetist
- Melrose, MA
- NPI 1386695534
Anesthesiology
-
- Certified Registered Nurse Anesthetist
- Woonsocket, RI
- NPI 1124048905
Anesthesiology
Hospital & facility affiliations 2
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": "1144627200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1579132800000",
"number": "1336102441",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "335 E HOUGHTON AVE",
"city": "WEST BRANCH",
"state": "MI",
"postal_code": "486611127"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "335 E HOUGHTON AVE",
"city": "WEST BRANCH",
"state": "MI",
"postal_code": "48661",
"telephone_number": "989-343-3730"
}
],
"practiceLocations": [
{
"address_1": "555 W Wackerly Rd",
"address_2": "St 2600",
"address_purpose": "LOCATION",
"city": "Midland",
"state": "MI",
"postal_code": "486611127",
"country_code": "US",
"telephone_number": "898-324-2029",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BARAKAT",
"first_name": "ABDUL",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-04-10",
"last_updated": "2020-01-16",
"certification_date": "2020-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "MI",
"license": "4301117172",
"primary": true
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "RI",
"license": "MD11449",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "MA",
"license": "219701",
"primary": false
},
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "RI",
"license": "MD11449",
"primary": false
},
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "MA",
"license": "219701",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2060850",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7056609",
"state": "RI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in West Branch, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2020; 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.