Organization Active NPI

Baribeau & Associates, P.a.

  • Ophthalmology Physician
  • San Antonio, TX
National Provider Identifier
1366590952
Registry record updated Aug 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
D9352 Issued in TX
Legal business name
BARIBEAU & ASSOCIATES, P.A.
Practice address
7830 Louis Pasteur
San Antonio, TX 78229-3404
Phone
(210) 692-8888
NPI assigned
Jan 8, 2007
Last updated
Aug 28, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2013

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

Authorized official

Name
Mrs. Tanya M Baribeau
Title
Administrator
Phone
(210) 692-8888

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X D9352 TX
Ophthalmology Physician 207W00000X D9352 TX Primary

Addresses

Primary practice location

7830 Louis Pasteur
San Antonio, TX 78229-3404

Mailing address

7830 Louis Pasteur
San Antonio, TX 78229-3404
Phone (210) 692-8888

Other identifiers 3

IdentifierTypeStateIssuer
85720GOtherTXBLUE CROSS BLUE SHIELD
079671601MedicaidTX
00046KOtherTXMEDICARE PROVIDER ID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070105000378 TX Part B Supplier - Clinic/Group Practice 2769482215 Receives reassigned benefits from 1 practitioner
Practice locations: San Antonio, TX

National Provider Directory

National Provider Directory

Locations

7830 Louis Pasteur Dr
San Antonio, TX 78229
Phone (210) 692-8888

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377648000000",
    "number": "1366590952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7830 LOUIS PASTEUR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293404",
            "telephone_number": "210-692-8888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7830 LOUIS PASTEUR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293404",
            "telephone_number": "210-692-8888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BARIBEAU & ASSOCIATES, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-08",
        "last_updated": "2013-08-28",
        "status": "A",
        "authorized_official_last_name": "BARIBEAU",
        "authorized_official_first_name": "TANYA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "210-692-8888",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "D9352",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "D9352",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "85720G",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "079671601",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER ID",
            "identifier": "00046K",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2013; 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.

Verify at the official NPI Registry.