Active NPI
Mark A Barros, M.D.
- Pediatrics Physician
- Shenandoah, TX
National Provider Identifier
1487097895
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- R4186
- Practice address
- 920 Medical Plaza Dr Ste 120
Shenandoah, TX 77380-3275 - Phone
- (326) 574-1528
- NPI assigned
- Apr 16, 2013
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | R4186 | TX | Primary |
Addresses
Primary practice location
920 Medical Plaza Dr Ste 120
Shenandoah, TX 77380-3275
Mailing address
920 Medical Plaza Dr Ste 120
Shenandoah, TX 77380-3275
Phone (281) 298-1144
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 103132374 | Medicaid | PA |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R4186 | TX | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cortica Developmental Therapies PA | Past | Accepting new patients | |
| Cortica ABA Therapies PA | Past | Accepting new patients | |
| Shaun S. Varghese, M.D., PLLC | Past | Accepting new patients |
Interoperability endpoints
- mark.barros.1@14973.direct.athenahealth.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.
-
- Multi-Specialty Clinic/Center
- Plano, TX
- NPI 1942888508
-
- Multi-Specialty Clinic/Center
- Plano, TX
- NPI 1619554680
-
- Neurology with Special Qualifications in Child Neurology Physician
- Shenandoah, TX
- NPI 1497168546
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1366070400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1643155200000",
"number": "1487097895",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "920 MEDICAL PLAZA DR STE 120",
"city": "SHENANDOAH",
"state": "TX",
"postal_code": "773803275",
"telephone_number": "281-298-1144"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "920 MEDICAL PLAZA DR STE 120",
"city": "SHENANDOAH",
"state": "TX",
"postal_code": "773803275",
"telephone_number": "326-574-1528"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARROS",
"first_name": "MARK",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-04-16",
"last_updated": "2022-01-26",
"certification_date": "2022-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "TX",
"license": "R4186",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "103132374",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Shenandoah, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.