Individual provider Active NPI

Robert J Barnes, MD

  • Ophthalmology Physician
  • Aurora, IL
National Provider Identifier
1609840503
Registry record updated Feb 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
36067033 Issued in IL
Practice address
1300 N Highland Ave
Suite 1
Aurora, IL 60506-1451
Phone
(630) 897-5104
Fax
(630) 897-5089
NPI assigned
Feb 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 29, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 36067033 IL Primary

Addresses

Primary practice location

1300 N Highland Ave
Suite 1
Aurora, IL 60506-1451

Mailing address

1300 N Highland Ave
Suite 1
Aurora, IL 60506-1451
Phone (630) 897-5104

Other identifiers 5

IdentifierTypeStateIssuer
36067033MedicaidIL
02201589OtherBC/BS (GEOA)
0360670334MedicaidIL
36-3500115OtherILFEIN
4099504OtherAETNA (GEOA)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20050824000164 IL Practitioner - Ophthalmology 4183526585 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Rush Medical College of Rush University, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aurora Eye Clinic LTDGroup PAC ID 2769384163, 7 clinicians

Practice addresses (Care Compare)

1300 N Highland Ave
Suite 1
Aurora, IL 60506-1464
Phone (630) 897-5104

Hospital & facility affiliations

  • Loyola University Medical Center Hospital, Maywood, IL, CCN 140276

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery17

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
36067033ILMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Aurora Eye Clinic LTD Ophthalmology CurrentSince Jan 1, 1980 Accepting new patients

Locations

1300 N Highland Ave
Aurora, IL 60506
Phone (630) 301-7595

1300 N Highland Ave
Ste 1
Aurora, IL 60506
Phone (630) 897-5104

Interoperability endpoints

  • Direct secure messaging: robert.barnesmd.p1@direct.auroraeyeclinic.nextgenshare.com

Organizations & group practices 1

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.

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": "1139961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330473600000",
    "number": "1609840503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 N HIGHLAND AVE",
            "address_2": "SUITE 1",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605061451",
            "telephone_number": "630-897-5104",
            "fax_number": "630-897-5089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 N HIGHLAND AVE",
            "address_2": "SUITE 1",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605061451",
            "telephone_number": "630-897-5104",
            "fax_number": "630-897-5089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARNES",
        "first_name": "ROBERT",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-15",
        "last_updated": "2012-02-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "IL",
            "license": "36067033",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "36067033",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS (GEOA)",
            "identifier": "02201589",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0360670334",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEIN",
            "identifier": "36-3500115",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA (GEOA)",
            "identifier": "4099504",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, IL

Sources for this page

Verify at the official NPI Registry.