Individual provider Active NPI

Dominic V Barberio, DO

  • Psychiatry Physician
  • Lansing, MI
National Provider Identifier
1598818536
Registry record updated Feb 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
5101010428 Issued in MI
Practice address
1210 W Saginaw St
2ND Floor
Lansing, MI 48915-1927
Phone
(517) 364-7700
Fax
(517) 364-7701
NPI assigned
Jan 22, 2007
Last updated
Feb 19, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 5101010428 MI Primary
Psychosomatic Medicine Physician 2084P0015X 5101010428 MI

Addresses

Primary practice location

1210 W Saginaw St
2ND Floor
Lansing, MI 48915-1927

Mailing address

8175 Reliable Pkwy
Chicago, IL 60686-0081
Phone (517) 364-6253

Other identifiers 2

IdentifierTypeStateIssuer
2988008MedicaidMI
2753320065OtherMIINDIVIDUAL BCBS PIN #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20120820000699 MI Practitioner - Psychiatry 4981851383 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Michigan State University College of Osteopathic Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Edward W Sparrow Hospital AssociationGroup PAC ID 6709799166, shared by 20 NPIs, 698 clinicians

Practice addresses (Care Compare)

1210 W Saginaw St
Lansing, MI 48915-1927
Phone (517) 364-7750

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5101010428MIMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Edward W. Sparrow Hospital Association Current Accepting new patients
Edward W Sparrow Hospital Association CurrentSince Jan 1, 2024 Accepting new patients
Edward W Sparrow Hospital Association CurrentSince Jan 1, 1999 Accepting new patients
Edward W. Sparrow Hospital Association Psychiatry CurrentSince Jan 1, 1999 Accepting new patients
Edward W. Sparrow Hospital Association Current Accepting new patients
Michigan State University Dept of Psychiatry Psychiatry Past Accepting new patients

Locations

8175 Reliable Pkwy
Chicago, IL 60686

1210 W Saginaw St
Lansing, MI 48915
Phone (517) 364-7180

1210 W Saginaw St
Bldg 3
Lansing, MI 48915

1210 W Saginaw St
Fl 2
Lansing, MI 48915
Phone (517) 364-7575

1215 E Michigan Ave
Lansing, MI 48912
Phone (517) 336-8080

Interoperability endpoints

  • Direct secure messaging: dbarberio3141@sparrowdirecthie.org

Organizations & group practices 6

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 2

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": "1169424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708300800000",
    "number": "1598818536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8175 RELIABLE PKWY",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606860081",
            "telephone_number": "517-364-6253",
            "fax_number": "517-364-6204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1210 W SAGINAW ST",
            "address_2": "2ND FLOOR",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489151927",
            "telephone_number": "517-364-7700",
            "fax_number": "517-364-7701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARBERIO",
        "first_name": "DOMINIC",
        "middle_name": "V",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-22",
        "last_updated": "2024-02-19",
        "certification_date": "2024-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MI",
            "license": "5101010428",
            "primary": true
        },
        {
            "code": "2084P0015X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychosomatic Medicine",
            "state": "MI",
            "license": "5101010428",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2988008",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL BCBS PIN #",
            "identifier": "2753320065",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lansing, MI

Sources for this page

Verify at the official NPI Registry.