NPIMap

Individual provider Active NPI

Barbara A Novotny, MD

  • Family Medicine Physician
  • Oak Creek, CO
National Provider Identifier
1396906756
Registry record updated Jan 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0055650 Issued in CO
Practice address
300 East Main Street
Oak Creek, CO 80467-0008
Phone
(970) 736-8118
Fax
(970) 736-0678
NPI assigned
Jun 18, 2008
Last updated
Jan 17, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 17, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0055650 CO Primary

Addresses

Primary practice location

300 East Main Street
Oak Creek, CO 80467-0008

Mailing address

PO Box 8
Oak Creek, CO 80467-0008
Phone (970) 736-8118

Other identifiers 2

IdentifierTypeStateIssuer
39678270MedicaidNM
19770090MedicaidCO

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address tina@southrouttmedical.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151020001436 CO Practitioner - Family PracticePractitioner - Preventive Medicine 6709058605 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Pennsylvania State University College of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
South Routt Medical Center Health Service DistrictGroup PAC ID 4880696822, 4 clinicians

Practice addresses (Care Compare)

300 Main St
Oak Creek, CO 80467-0008
Phone (970) 736-8118

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions31
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0055650COMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
South Routt Medical Center Health Service District Family Medicine CurrentSince May 2, 2021 Accepting new patients
Sky Mental Health LLC CurrentSince Oct 7, 2025 Accepting new patients

Locations

810 Lincoln Ave
Steamboat Springs, CO 80487
Phone (585) 314-5378

Interoperability endpoints

  • Direct secure messaging: barbara.novotny.1@7204.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/7204/brand/1/csg/1/fhir/r4

Organizations & group practices 2

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 5

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": "1213747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705449600000",
    "number": "1396906756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8",
            "city": "OAK CREEK",
            "state": "CO",
            "postal_code": "804670008",
            "telephone_number": "970-736-8118",
            "fax_number": "970-736-0678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 EAST MAIN STREET",
            "city": "OAK CREEK",
            "state": "CO",
            "postal_code": "804670008",
            "telephone_number": "970-736-8118",
            "fax_number": "970-736-0678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOVOTNY",
        "first_name": "BARBARA",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-18",
        "last_updated": "2024-01-17",
        "certification_date": "2023-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "0055650",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "39678270",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "19770090",
            "state": "CO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tina@southrouttmedical.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "300 East Main Street",
            "city": "Oak Creek",
            "state": "CO",
            "country_code": "US",
            "postal_code": "804670008",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Oak Creek, CO

Sources for this page

Verify at the official NPI Registry.