Individual provider Active NPI

Barry Phillip Wright, M.D.

  • Internal Medicine Physician
  • Elkhart, IN
National Provider Identifier
1588893036
Registry record updated Feb 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
01086519A Issued in IN
Practice address
236 Simpson Ave
Elkhart, IN 46516-4666
Phone
(574) 293-0052
NPI assigned
Jul 6, 2009
Last updated
Feb 25, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 25, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 01086519A IN Primary
Internal Medicine Physician 207R00000X ME 113981 FL

Addresses

Primary practice location

236 Simpson Ave
Elkhart, IN 46516-4666

Mailing address

PO Box 746720
Atlanta, GA 30374-6720
Phone (312) 733-9730

Other practice location 1

820 Prudential Dr
Suite 304
Jacksonville, FL 32207-8210
Phone (904) 346-3649

Other identifiers 1

IdentifierTypeStateIssuer
006635300MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20230510000532 IN Practitioner - Internal Medicine 7911156088 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of South Carolina School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Heart City Health Center IncGroup PAC ID 9931008380, 15 clinicians

Practice addresses (Care Compare)

236 Simpson Ave
Elkhart, IN 46516-4666
Phone (574) 584-7373

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME 113981FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Healthlinc, Inc CurrentSince Dec 7, 2024 Accepting new patients
Healthlinc, Inc CurrentSince Dec 7, 2024 Accepting new patients
Heart City Health Center Pharmacy Past Accepting new patients
TNT Medical Surgical Group Inc Internal Medicine PastSince Mar 7, 2018 Accepting new patients
Baptist Primary Care Inc Internal Medicine Past Accepting new patients

Locations

148 W Hively Ave
Ste 1
Elkhart, IN 46517
Phone (574) 350-2500

236 Simpson Ave
Elkhart, IN 46516
Phone (574) 293-0052

Interoperability endpoints

  • Direct secure messaging: barry.wright.1@11397.direct.athenahealth.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1246838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740441600000",
    "number": "1588893036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 746720",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303746720",
            "telephone_number": "312-733-9730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "236 SIMPSON AVE",
            "city": "ELKHART",
            "state": "IN",
            "postal_code": "465164666",
            "telephone_number": "574-293-0052"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "820 Prudential Dr",
            "address_2": "Suite 304",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322078210",
            "country_code": "US",
            "telephone_number": "904-346-3649",
            "fax_number": "904-348-5627",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WRIGHT",
        "first_name": "BARRY",
        "middle_name": "PHILLIP",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-07-06",
        "last_updated": "2025-02-25",
        "certification_date": "2025-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "01086519A",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME 113981",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006635300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elkhart, IN

Sources for this page

Verify at the official NPI Registry.