Active NPI
Edgar Alexander Barrios, PEDORTHIST
- Pedorthist
- Spring Valley, IL
National Provider Identifier
1386139145
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pedorthist
- License
- 212000132
- Practice address
- 307 W Saint Paul St
Spring Valley, IL 61362-1860 - Phone
- (312) 315-6584
- NPI assigned
- Jun 25, 2018
- Last updated
- Jun 25, 2018
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pedorthist | 224L00000X | 212000132 | IL | Primary |
Addresses
Primary practice location
307 W Saint Paul St
Spring Valley, IL 61362-1860
Mailing address
702 Justina St
Hinsdale, IL 60521-2425
Phone (312) 315-6584
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 212000132 | Other | IL | ILLINOIS LICENSE |
Other names 1
- Mr. Alex Barrios
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 212000132 | IL | MD | Pedorthist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Animate Pedorthics Orthotics & Prosthetics LLC | Pedorthist | Current | Accepting new patients |
| Animate Pedorthics Orthotics Prosthetics 4U Inc | Current | Accepting new patients | |
| Perfect Fit Footwear | Current | Accepting new patients | |
| Pack Machine Incorporated | Past | Accepting new patients |
Locations
307 W Saint Paul St
Spring Valley, IL 61362
Phone (312) 315-6584
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Durable Medical Equipment & Medical Supplies
- Spring Valley, IL
- NPI 1013536622
Pedorthist
-
- Customized Equipment (DME)
- Orland Park, IL
- NPI 1528239605
-
- Customized Equipment (DME)
- Spring Valley, IL
- NPI 1992290647
-
- Customized Equipment (DME)
- Spring Valley, IL
- NPI 1477120319
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1529884800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1529884800000",
"number": "1386139145",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "702 JUSTINA ST",
"city": "HINSDALE",
"state": "IL",
"postal_code": "605212425",
"telephone_number": "312-315-6584"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "307 W SAINT PAUL ST",
"city": "SPRING VALLEY",
"state": "IL",
"postal_code": "613621860",
"telephone_number": "312-315-6584"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARRIOS",
"first_name": "EDGAR",
"middle_name": "ALEXANDER",
"name_prefix": "Mr.",
"credential": "PEDORTHIST",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-06-25",
"last_updated": "2018-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "224L00000X",
"taxonomy_group": "",
"desc": "Pedorthist",
"state": "IL",
"license": "212000132",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ILLINOIS LICENSE",
"identifier": "212000132",
"state": "IL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ALEX",
"last_name": "BARRIOS",
"prefix": "MR.",
"credential": "PEDORTHIST",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Spring Valley, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.