Individual provider Active NPI

Jeffrey Ian Barke, M.D.

  • Family Medicine Physician
  • Newport Beach, CA
National Provider Identifier
1437109758
Registry record updated Dec 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
G72290 Issued in CA
Practice address
500 Superior Ave Ste 100
Newport Beach, CA 92663-3660
Phone
(949) 706-3300
Fax
(949) 706-3301
NPI assigned
May 10, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 18, 2019

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 G72290 CA Primary

Addresses

Primary practice location

500 Superior Ave Ste 100
Newport Beach, CA 92663-3660

Mailing address

500 Superior Ave Ste 100
Newport Beach, CA 92663-3660
Phone (949) 706-3300

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101213001058 CA Practitioner - Family Practice 9335197110 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of California, Irvine, California College of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Personalcare Physicians of Newport Beach IncGroup PAC ID 4587092663, 3 clinicians

Practice addresses (Care Compare)

2121 E Coast Hwy
Suite 250
Corona del Mar, CA 92625-1932
Phone (949) 706-3300

Hospital & facility affiliations

  • Hoag Memorial Hospital Presbyterian Hospital, Newport Beach, CA, CCN 050224

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G72290CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Personalcare Physicians of Newport Beach Inc Family Medicine CurrentSince Apr 1, 2003 Accepting new patients
Preventive Healthcare Medical Centers Past Accepting new patients
Personalcare Physicians of Irvine Family Medicine Past Accepting new patients

Locations

2121 E Coast Hwy
Ste 250
Corona del Mar, CA 92625
Phone (949) 706-3300

500 Superior Ave
Ste 100
Newport Beach, CA 92663
Phone (949) 706-3300

17 Corporate Plaza Dr
Ste 110
Newport Beach, CA 92660
Phone (949) 404-4444

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BABFAA/Endpoint/BABFAA
  • Direct secure messaging: jeffrey.barke@401461448343556.direct.elationemr.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

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": "1147219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576627200000",
    "number": "1437109758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 SUPERIOR AVE STE 100",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926633660",
            "telephone_number": "949-706-3300",
            "fax_number": "949-706-3301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 SUPERIOR AVE STE 100",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926633660",
            "telephone_number": "949-706-3300",
            "fax_number": "949-706-3301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARKE",
        "first_name": "JEFFREY",
        "middle_name": "IAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-10",
        "last_updated": "2019-12-18",
        "certification_date": "2019-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G72290",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

Verify at the official NPI Registry.