Active NPI
Philip Theodore Labarbera, M.D.
- Family Medicine Physician
- Nacogdoches, TX
National Provider Identifier
1528020823
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- D8315
- Practice address
- 4944 NE Stallings Dr
Nacogdoches, TX 75965-1265 - Phone
- (936) 564-3751
- Fax
- (936) 560-5871
- NPI assigned
- Apr 4, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | D8315 | TX | Primary |
Addresses
Primary practice location
4944 NE Stallings Dr
Nacogdoches, TX 75965-1265
Mailing address
4944 NE Stallings Dr
Nacogdoches, TX 75965-1265
Phone (936) 564-3751
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 120206104 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100218000684 | TX | Practitioner - Family Practice | 3072682277 | Practice locations: Nacogdoches, TX |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of Texas Medical Branch at Galveston, 1971
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
4944 NE Stallings Dr
Nacogdoches, TX 75965-1265
Phone (936) 564-3751
Hospital & facility affiliations
- Accentcare Home Health of Texas
- A Pineywoods Home Health Care Inc
- Reliant at Home
- Vitalcaring Group
- Harbor Hospice 26 LP
- Nacogdoches Medical Center
- Nacogdoches Memorial Hospital
- Stallings Court Nursing and Rehabilitation
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 16 |
| Melanoma (skin cancer) excision | 1-10 |
| Removal of nail tissue | 1-10 |
| Removal or shaving of skin growth | 11 |
| Skin biopsy | 35 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Interoperability endpoints
- philip.labarbera.1@20628.direct.athenahealth.com
Hospital & facility affiliations 9
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Lufkin, TX
- NPI 1174638852
-
- Home Health Agency
- Lufkin, TX
- NPI 1043450125
-
- Rural Acute Care Hospital
- Nacogdoches, TX
- NPI 1801831748
Hospital
-
- Home Health Agency
- Henderson, TX
- NPI 1871632513
-
- Home Health Agency
- Desoto, TX
- NPI 1801880554
-
- Home Health Agency
- Nacogdoches, TX
- NPI 1215150305
-
- Skilled Nursing Facility
- Nacogdoches, TX
- NPI 1265007827
Nursing home
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144108800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1258934400000",
"number": "1528020823",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4944 NE STALLINGS DR",
"city": "NACOGDOCHES",
"state": "TX",
"postal_code": "759651265",
"telephone_number": "936-564-3751",
"fax_number": "936-560-5871"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4944 NE STALLINGS DR",
"city": "NACOGDOCHES",
"state": "TX",
"postal_code": "759651265",
"telephone_number": "936-564-3751",
"fax_number": "936-560-5871"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LABARBERA",
"first_name": "PHILIP",
"middle_name": "THEODORE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-04-04",
"last_updated": "2009-11-23",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "D8315",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "120206104",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Nacogdoches, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.