Individual provider Active NPI

Peter Stephen Barre, MD

  • Orthopaedic Hand Surgery Physician
  • Dayton, OH
National Provider Identifier
1508860958
Registry record updated Nov 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Hand Surgery PhysicianTaxonomy code 207XS0106X
License
35-047831 Issued in OH
Practice address
2350 Miami Valley Dr
Ste 310
Dayton, OH 45459-4778
Phone
(937) 435-4263
Fax
(937) 298-9459
NPI assigned
Jun 13, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Hand Surgery Physician 207XS0106X 35-047831 OH Primary

Addresses

Primary practice location

2350 Miami Valley Dr
Ste 310
Dayton, OH 45459-4778

Mailing address

2350 Miami Valley Dr
Ste 310
Dayton, OH 45459-4778
Phone (937) 435-4263

Other identifiers 4

IdentifierTypeStateIssuer
D47831OtherOHCHOICECARE
000000014355OtherOHANTHEM
09-20040OtherOHUNITED HEALTHCARE
0505859MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20050303000413 OH Practitioner - Hand Surgery 7911951827 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35-047831OHMDOrthopaedic Hand Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Health Specialists Inc CurrentSince Jun 1, 2012 Accepting new patients
Premier Health Specialists Inc CurrentSince Jun 1, 2012 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

30 E Apple St
#6258
Dayton, OH 45409
Phone (937) 208-5300

2350 Miami Valley Dr
Ste 310
Dayton, OH 45459
Phone (937) 435-4263

1 Wyoming St
Dayton, OH 45409
Phone (937) 208-2636

275 N Breiel Blvd
Middletown, OH 45042
Phone (513) 424-7711

3170 Kettering Blvd
Bldg B
Moraine, OH 45439
Phone (937) 991-3187

630 N Main St
Ste 200
Springboro, OH 45066
Phone (937) 748-8516

450 N Hyatt St
Ste 304
Tipp City, OH 45371
Phone (937) 832-4773

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.

NPI Registry JSON

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

{
    "created_epoch": "1118620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1384992000000",
    "number": "1508860958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2350 MIAMI VALLEY DR",
            "address_2": "STE 310",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454594778",
            "telephone_number": "937-435-4263",
            "fax_number": "937-298-9459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2350 MIAMI VALLEY DR",
            "address_2": "STE 310",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454594778",
            "telephone_number": "937-435-4263",
            "fax_number": "937-298-9459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARRE",
        "first_name": "PETER",
        "middle_name": "STEPHEN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-13",
        "last_updated": "2013-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0106X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Hand Surgery",
            "state": "OH",
            "license": "35-047831",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHOICECARE",
            "identifier": "D47831",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000014355",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "09-20040",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0505859",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

Verify at the official NPI Registry.