Organization Active NPI

Merle Bari, M.D. and Associates

  • Dermatology Physician
  • Gladwyne, PA
National Provider Identifier
1386790640
Registry record updated Nov 21, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
MD03988E Issued in PA
Legal business name
MERLE BARI, M.D. AND ASSOCIATES
Practice address
944 Merion Square Rd
Gladwyne, PA 19035-1510
Phone
(610) 649-5001
NPI assigned
Jan 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2007

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

Authorized official

Name
Dr. Merle Bari, M.D.NPI 1689687048
Title
Owner
Phone
(610) 649-5001

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207N00000X MD03988E PA Primary

Addresses

Primary practice location

944 Merion Square Rd
Gladwyne, PA 19035-1510

Mailing address

944 Merion Square Rd
Gladwyne, PA 19035-1510

Other identifiers 2

IdentifierTypeStateIssuer
1592389OtherPABLUE CROSS
2271152000OtherPAKEYSTONE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041216000526 PA Part B Supplier - Clinic/Group Practice 2567429087 Receives reassigned benefits from 1 practitioner
Practice locations: Gladwyne, PA; Philadelphia, PA

National Provider Directory

National Provider Directory

Locations

5735 Ridge Ave
Ste 201
Philadelphia, PA 19128
Phone (215) 483-4300

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195603200000",
    "number": "1386790640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "944 MERION SQUARE RD",
            "city": "GLADWYNE",
            "state": "PA",
            "postal_code": "190351510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "944 MERION SQUARE RD",
            "city": "GLADWYNE",
            "state": "PA",
            "postal_code": "190351510",
            "telephone_number": "610-649-5001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERLE BARI, M.D. AND ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-26",
        "last_updated": "2007-11-21",
        "status": "A",
        "authorized_official_last_name": "BARI",
        "authorized_official_first_name": "MERLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "610-649-5001",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": "PA",
            "license": "MD03988E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "1592389",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE",
            "identifier": "2271152000",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gladwyne, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2007; 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.