Individual provider Active NPI

Barry Irwin Ludwig, MD

  • Neurology Physician
  • Santa Monica, CA
National Provider Identifier
1457379836
Registry record updated Jul 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
G36708 Issued in CA
Practice address
2811 Wilshire Blvd Suite 508
Santa Monica, CA 90403-4803
Phone
(424) 387-4001
Fax
(424) 387-4005
NPI assigned
Jul 17, 2006
Last updated
Jul 23, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X G36708 CA Primary

Addresses

Primary practice location

2811 Wilshire Blvd Suite 508
Santa Monica, CA 90403-4803

Mailing address

2811 Wilshire Blvd Suite 508
Santa Monica, CA 90403-4803
Phone (424) 387-4001

Other identifiers 1

IdentifierTypeStateIssuer
GR0022710MedicaidCA

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
I20090507000658 CA Practitioner - Neurology 5395893911 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
University of Washington School of Medicine, 1971
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2811 Wilshire Blvd
Suite 508
Santa Monica, CA 90403-4803
Phone (424) 387-4001

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G36708CAMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Barry I. Ludwig, M.D. Inc. Neurology CurrentSince Jun 26, 2014 Accepting new patients
Regents Univ of Calif Los Angeles Past Accepting new patients

Locations

100 UCLA Medical Plz
Ste 425
Los Angeles, CA 90024
Phone (310) 206-3022

2811 Wilshire Blvd
Ste 508
Santa Monica, CA 90403
Phone (310) 794-1500

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.

NPI Registry JSON

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563840000000",
    "number": "1457379836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2811 WILSHIRE BLVD SUITE 508",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904034803",
            "telephone_number": "424-387-4001",
            "fax_number": "424-387-4005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2811 WILSHIRE BLVD SUITE 508",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904034803",
            "telephone_number": "424-387-4001",
            "fax_number": "424-387-4005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUDWIG",
        "first_name": "BARRY",
        "middle_name": "IRWIN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2019-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CA",
            "license": "G36708",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0022710",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Monica, CA

Sources for this page

Verify at the official NPI Registry.