Individual provider Active NPI

Enrique R Barrientos, R.P.A.

  • Physician Assistant
  • Houston, TX
National Provider Identifier
1356458764
Registry record updated Aug 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA08152 Issued in TX
Practice address
18400 Katy Fwy Ste 690
Houston, TX 77094
Phone
(832) 522-8600
NPI assigned
Aug 23, 2006
Last updated
Aug 2, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2019

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 002075 NY
Physician Assistant 363A00000X PA08152 TX Primary
Medical Physician Assistant 363AM0700X PA08152 TX
Medical Physician Assistant 363AM0700X 002075 NY
Surgical Physician Assistant 363AS0400X PA08152 TX
Surgical Physician Assistant 363AS0400X 002075 NY

Addresses

Primary practice location

18400 Katy Fwy Ste 690
Houston, TX 77094

Mailing address

18400 Katy Fwy Ste 690
Houston, TX 77094-1378
Phone (832) 522-8600

Other practice location 1

301 University Blvd
Galveston, TX 77555-0527
Phone (409) 772-0534

Other practice location 2

301 University Blvd
Galveston, TX 77555-0527
Phone (409) 772-0534

Other identifiers 1

IdentifierTypeStateIssuer
317446803MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20130523000544 TX Practitioner - Physician Assistant 2163595703 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Utmb Faculty Group PracticeGroup PAC ID 3375456734, 1,083 clinicians

Practice addresses (Care Compare)

301 University Blvd
Galveston, TX 77555-5302
Phone (409) 772-2222

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
002075NYMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
TMH Physician Associates PLLC CurrentSince Apr 29, 2019 Accepting new patients
TMH Physician Associates PLLC CurrentSince Apr 29, 2019 Accepting new patients
Sound Shore Physician Services Past Accepting new patients
University of Texas Medical Branch at Galveston Past Accepting new patients

Locations

18400 Katy Fwy
Ste 690
Houston, TX 77094
Phone (832) 522-8600

6550 Fannin St
Ste 447
Houston, TX 77030
Phone (713) 441-0633

7575 San Felipe St
Ste 155
Houston, TX 77063
Phone (713) 266-9955

Interoperability endpoints

  • Direct secure messaging: ebarrientospa24419@direct.utmb.edu

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1156291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564704000000",
    "number": "1356458764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18400 KATY FWY STE 690",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770941378",
            "telephone_number": "832-522-8600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18400 KATY FWY STE 690",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77094",
            "telephone_number": "832-522-8600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "301 University Blvd",
            "address_purpose": "LOCATION",
            "city": "Galveston",
            "state": "TX",
            "postal_code": "775550527",
            "country_code": "US",
            "telephone_number": "409-772-0534",
            "fax_number": "409-772-5611",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "301 University Blvd",
            "address_purpose": "LOCATION",
            "city": "Galveston",
            "state": "TX",
            "postal_code": "775550527",
            "country_code": "US",
            "telephone_number": "409-772-0534",
            "fax_number": "409-772-5611",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BARRIENTOS",
        "first_name": "ENRIQUE",
        "middle_name": "R",
        "credential": "R.P.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-23",
        "last_updated": "2019-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "002075",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA08152",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": "PA08152",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "002075",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "TX",
            "license": "PA08152",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NY",
            "license": "002075",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "317446803",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.