Individual provider Active NPI

Rafael Gustavo Barcia, MD

  • Family Medicine Physician
  • Arverne, NY
National Provider Identifier
1528009461
Registry record updated Mar 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
116204 Issued in NY
Practice address
6200 Beach Channel Dr
Arverne, NY 11692-1409
Phone
(516) 945-7150
Fax
(718) 945-2596
NPI assigned
Jun 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2020

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 116204 NY Primary

Addresses

Primary practice location

6200 Beach Channel Dr
Arverne, NY 11692-1409

Mailing address

6200 Beach Channel Dr
Arverne, NY 11692-1409
Phone (516) 945-7150

Other identifiers 1

IdentifierTypeStateIssuer
00335713MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20191030002962 NY Practitioner - Internal Medicine 8123038882 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
116204NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Prominis Medical Services PC CurrentSince Apr 1, 2021 Accepting new patients
Comprehensive Women'S Health of N.Y. PLLC CurrentSince Apr 1, 2021 Accepting new patients

Locations

332 DeKalb Ave
Brooklyn, NY 11205
Phone 7185825252101

6829 Myrtle Ave
Glendale, NY 11385
Phone (718) 366-2242

13704 Guy R Brewer Blvd
Ste 1A
Jamaica, NY 11434
Phone (718) 527-3404

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1149897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583884800000",
    "number": "1528009461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6200 BEACH CHANNEL DR",
            "city": "ARVERNE",
            "state": "NY",
            "postal_code": "116921409",
            "telephone_number": "516-945-7150",
            "fax_number": "718-945-2596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6200 BEACH CHANNEL DR",
            "city": "ARVERNE",
            "state": "NY",
            "postal_code": "116921409",
            "telephone_number": "516-945-7150",
            "fax_number": "718-945-2596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARCIA",
        "first_name": "RAFAEL",
        "middle_name": "GUSTAVO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-10",
        "last_updated": "2020-03-11",
        "certification_date": "2020-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "116204",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00335713",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Arverne, NY

Sources for this page

Verify at the official NPI Registry.