Active NPI
Nicholas Reese Barnes, M.D.
- Interventional Pain Medicine Physician
- Waltham, MA
National Provider Identifier
1578806170
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Pain Medicine Physician
- License
- 265288
- Practice address
- 85 1St Ave
Waltham, MA 02451-1105 - Phone
- (781) 895-7900
- NPI assigned
- Apr 2, 2013
- Last updated
- Nov 5, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 265288 | MA | |
| Interventional Pain Medicine Physician | 208VP0014X | 265288 | MA | Primary |
Addresses
Primary practice location
85 1St Ave
Waltham, MA 02451-1105
Mailing address
85 1St Ave
Waltham, MA 02451-1105
Phone (781) 895-7903
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Previously, effective Oct 1, 2022 through Oct 1, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1364860800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1572912000000",
"number": "1578806170",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "85 1ST AVE",
"city": "WALTHAM",
"state": "MA",
"postal_code": "024511105",
"telephone_number": "781-895-7903",
"fax_number": "781-290-0893"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "85 1ST AVE",
"city": "WALTHAM",
"state": "MA",
"postal_code": "024511105",
"telephone_number": "781-895-7900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARNES",
"first_name": "NICHOLAS",
"middle_name": "REESE",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-04-02",
"last_updated": "2019-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MA",
"license": "265288",
"primary": false
},
{
"code": "208VP0014X",
"taxonomy_group": "",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": "MA",
"license": "265288",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Waltham, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.