Active NPI
Mdinr, LLC
- Physiological Laboratory
- San Jose, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physiological Laboratory
- Legal business name
- MDINR, LLC
- Practice address
- 1718 Stone Ave Ste B
San Jose, CA 95125-1333 - Phone
- (800) 877-4910
- Fax
- (408) 955-0162
- NPI assigned
- Sep 7, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jeffrey Barnhard, AO
- Title
- Ceo
- Phone
- (727) 259-2255
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physiological Laboratory | 293D00000X | Primary | ||
| Durable Medical Equipment & Medical Supplies | 332B00000X |
Addresses
Primary practice location
1718 Stone Ave Ste B
San Jose, CA 95125-1333
Mailing address
19387 US Highway 19 N
Clearwater, FL 33764-3102
Phone (727) 530-7700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CA129226 | Other | CA | IDTF PTAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120412000575 | CA | Part B Supplier - Independent Diagnostic Testing Facility (Idtf) | 0547314759 | Practice locations: San Jose, CA |
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
National Provider Directory
National Provider Directory- Tax ID family
- Mdinr LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Physiological Laboratory
- Middletown, NY
- NPI 1215177431
Member of 1
Organizations this organization is a member of, according to the National Provider Directory.
Locations
72 Bonaventura Dr
San Jose, CA 95134
Phone (800) 877-4910
45 Turner Dr
Middletown, NY 10941
Phone (845) 561-3222
59 Windsor Hwy
Ste 240
New Windsor, NY 12553
Phone (845) 561-3222
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Cardiac Electrophysiology Physician
- Los Angeles, CA
- NPI 1043246572
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1315353600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1759968000000",
"number": "1336420140",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19387 US HIGHWAY 19 N",
"city": "CLEARWATER",
"state": "FL",
"postal_code": "337643102",
"telephone_number": "727-530-7700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1718 STONE AVE STE B",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951251333",
"telephone_number": "800-877-4910",
"fax_number": "408-955-0162"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MDINR, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2011-09-07",
"last_updated": "2025-10-09",
"certification_date": "2025-10-09",
"status": "A",
"authorized_official_last_name": "BARNHARD",
"authorized_official_first_name": "JEFFREY",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "727-259-2255",
"authorized_official_credential": "AO"
},
"taxonomies": [
{
"code": "293D00000X",
"taxonomy_group": "",
"desc": "Physiological Laboratory",
"state": null,
"license": null,
"primary": true
},
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IDTF PTAN",
"identifier": "CA129226",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Jose, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.