Individual provider Active NPI

Amy L Barton, MD

  • Pediatrics Physician
  • Dallas, TX
National Provider Identifier
1629131784
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
M-11758 Issued in ID
Practice address
Ut Southwestern Medical Ctr
5323 Harry Hines Blvd
Dallas, TX 75390-9063
Phone
(214) 648-3405
Fax
(214) 648-3220
NPI assigned
Dec 19, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X MD38570 TN
Pediatrics Physician 208000000X 49922 MN
Child Abuse Pediatrics Physician 2080C0008X N3483 TX
Pediatrics Physician 208000000X M-11758 ID Primary

Addresses

Primary practice location

Ut Southwestern Medical Ctr
5323 Harry Hines Blvd
Dallas, TX 75390-9063

Mailing address

190 E Bannock St
Boise, ID 83712-6241
Phone (208) 706-8526

Other identifiers 1

IdentifierTypeStateIssuer
467603000MedicaidMN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID
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
I20121113000265 ID Practitioner - Pediatric Medicine 1850306259 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
21997OKMDMental Health Counselor
M-11758IDMDPediatrics Physician
49922MNMDPediatrics Physician
MD38570TNMDPediatrics Physician
N3483TXMDChild Abuse Pediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Lukes Clinic-Treasure Valley LLC Pediatrics CurrentSince Sep 30, 2012 Accepting new patients

Locations

100 E Idaho St
Ste 300
Boise, ID 83712
Phone (208) 345-5400

610 W Hays St
Boise, ID 83702
Phone (208) 345-3530

190 E Bannock St
Boise, ID 83712
Phone (208) 381-2378

Interoperability endpoints

  • Direct secure messaging: abarton17652@direct.slhs.org

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.

NPI Registry JSON

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1629131784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 E BANNOCK ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837126241",
            "telephone_number": "208-706-8526",
            "fax_number": "214-648-3220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "UT SOUTHWESTERN MEDICAL CTR",
            "address_2": "5323 HARRY HINES BLVD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753909063",
            "telephone_number": "214-648-3405",
            "fax_number": "214-648-3220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARTON",
        "first_name": "AMY",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-19",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TN",
            "license": "MD38570",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MN",
            "license": "49922",
            "primary": false
        },
        {
            "code": "2080C0008X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Child Abuse Pediatrics",
            "state": "TX",
            "license": "N3483",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "ID",
            "license": "M-11758",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "467603000",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.