Individual provider Active NPI

Luis Fernando Barragan

  • Physician Assistant
  • Sioux Center, IA
National Provider Identifier
1356042907
Registry record updated Oct 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
128590 Issued in IA
Practice address
1101 9TH St SE
Sioux Center, IA 51250-2501
Phone
(712) 722-1271
NPI assigned
Mar 10, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 128590 IA Primary

Addresses

Primary practice location

1101 9TH St SE
Sioux Center, IA 51250-2501

Mailing address

101 7TH St SW
Orange City, IA 51041-1996
Phone (712) 707-7000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241021001906 IA Practitioner - Physician Assistant 2365974912 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sioux Center HealthGroup PAC ID 9032027495, 36 clinicians

Practice addresses (Care Compare)

1101 9TH St SE
Sioux Center, IA 51250-2501
Phone (712) 722-1271

807 Main St D
Hull, IA 51239-7204
Phone (712) 439-1315

920 Ave F
Hawarden, IA 51023-2239
Phone (712) 551-1000

Hospital & facility affiliations

  • Sioux Center Health Hospital, Sioux Center, IA, CCN 161346
  • Hawarden Regional Healthcare Hospital, Hawarden, IA, CCN 161311

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Sioux Center Health CurrentSince Sep 1, 2024 Accepting new patients
Avera McKennan CurrentSince Nov 8, 2024 Accepting new patients
Avera McKennan CurrentSince Nov 8, 2024 Accepting new patients

Locations

807 Main St
Ste D
Hull, IA 51239
Phone (712) 439-1315

1101 9th St SE
Sioux Center, IA 51250
Phone (712) 722-1271

1200 1st Ave E
Spencer, IA 51301
Phone (712) 264-6164

Organizations & group practices 5

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.

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": "1678406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728950400000",
    "number": "1356042907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 7TH ST SW",
            "city": "ORANGE CITY",
            "state": "IA",
            "postal_code": "510411996",
            "telephone_number": "712-707-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 9TH ST SE",
            "city": "SIOUX CENTER",
            "state": "IA",
            "postal_code": "512502501",
            "telephone_number": "712-722-1271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARRAGAN",
        "first_name": "LUIS",
        "middle_name": "FERNANDO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-03-10",
        "last_updated": "2024-10-15",
        "certification_date": "2024-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IA",
            "license": "128590",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sioux Center, IA

Sources for this page

Verify at the official NPI Registry.