Individual provider Active NPI

Barry Rostek, DO

  • Pediatrics Physician
  • San Francisco, CA
National Provider Identifier
1497842900
Registry record updated Mar 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
A4841 Issued in CA
Practice address
45 Castro St
Suite 232
San Francisco, CA 94114-1027
Phone
(415) 565-6810
Fax
(415) 565-6844
NPI assigned
Oct 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X A4841 CA Primary

Addresses

Primary practice location

45 Castro St
Suite 232
San Francisco, CA 94114-1027

Mailing address

45 Castro St
Suite 232
San Francisco, CA 94114-1027
Phone (415) 565-6810

Other identifiers 1

IdentifierTypeStateIssuer
00AX48410MedicaidCA

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
I20200504001879 CA Practitioner - Pediatric Medicine 9830520097 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A4841CAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
UCSF Health Medical Foundation CurrentSince Apr 17, 2020 Accepting new patients

Locations

747 52nd St
Oakland, CA 94609
Phone (510) 428-3070

45 Castro St
Ste 232
San Francisco, CA 94114
Phone (415) 565-6810

Interoperability endpoints

  • Direct secure messaging: brostek80558@direct-ucsfmedicalcenter.org

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363132800000",
    "number": "1497842900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 CASTRO ST",
            "address_2": "SUITE 232",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941141027",
            "telephone_number": "415-565-6810",
            "fax_number": "415-565-6844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 CASTRO ST",
            "address_2": "SUITE 232",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941141027",
            "telephone_number": "415-565-6810",
            "fax_number": "415-565-6844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSTEK",
        "first_name": "BARRY",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-06",
        "last_updated": "2013-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A4841",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00AX48410",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.