Individual provider Active NPI

John Michael Barraza, M.D.

  • Diagnostic Radiology Physician
  • Monroe, LA
National Provider Identifier
1639108012
Registry record updated Apr 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
016721 Issued in LA
Practice address
1888 Hudson Cir
Ste 2
Monroe, LA 71201-3546
Phone
(318) 387-3453
Fax
(318) 323-9045
NPI assigned
Jun 30, 2006
Last updated
Apr 12, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 016721 LA Primary

Addresses

Primary practice location

1888 Hudson Cir
Ste 2
Monroe, LA 71201-3546

Mailing address

1888 Hudson Cir
Ste 2
Monroe, LA 71201-3546
Phone (318) 387-3453

Other identifiers 3

IdentifierTypeStateIssuer
1366889MedicaidLA
115102001MedicaidAR
300134865OtherLARAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20100908000620 LA Practitioner - Diagnostic RadiologyPractitioner - Interventional Radiology 9133218829 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic RadiologyAlso: Interventional Radiology
Education
Tulane University School of Medicine, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthopaedic Clinic of MonroeGroup PAC ID 0840252698, 35 clinicians
Radiology Associates a Professional CorporationGroup PAC ID 4284670092, 11 clinicians

Practice addresses (Care Compare)

1501 Louisville Ave
Monroe, LA 71201-6025
Phone 31832384514310

200 Professional Dr
West Monroe, LA 71291-5359
Phone (318) 325-3812

309 Jackson St
Monroe, LA 71201-7407
Phone (318) 387-3453

920 Oliver Rd
Monroe, LA 71201-5702
Phone (318) 966-6265

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.88 of 100Reported as group
Quality
100
Improvement activities
40
Cost
79.8

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
016721LAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopaedic Clinic of Monroe CurrentSince Oct 6, 1998 Accepting new patients
Radiology Associates a Professional Corporation Diagnostic Radiology CurrentSince Jul 1, 1987 Accepting new patients
Orthopaedic Clinic of Monroe CurrentSince Oct 6, 1998 Accepting new patients
Radiology Associates LLC Diagnostic Radiology CurrentSince Jan 1, 2026 Accepting new patients
Radiology Associates LLC Diagnostic Radiology Past Accepting new patients

Locations

5000 Hennessy Blvd
Baton Rouge, LA 70808
Phone (225) 765-4050

901 James Ave
Farmerville, LA 71241
Phone (318) 210-9020

1501 Louisville Ave
Monroe, LA 71201
Phone 31832384514310

1601 Lamy Ln
Monroe, LA 71201
Phone (318) 387-3453

1888 Hudson Cir
Ste 2
Monroe, LA 71201
Phone (318) 387-3453

2408 Broadmoor Blvd
Monroe, LA 71201
Phone (318) 410-0002

309 Jackson St
Monroe, LA 71201
Phone (318) 966-4000

3421 Medical Park Dr
Monroe, LA 71203
Phone (318) 327-4686

411 Calypso St
Monroe, LA 71201
Phone (318) 325-7007

920 Oliver Rd
Monroe, LA 71201
Phone (318) 807-6267

707 S Vienna St
Ruston, LA 71270
Phone (318) 224-3044

200 Professional Dr
West Monroe, LA 71291
Phone (318) 325-3812

Interoperability endpoints

  • Direct secure messaging: jbarraza16387@direct.casso.us.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 3

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": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1460419200000",
    "number": "1639108012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1888 HUDSON CIR",
            "address_2": "STE 2",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712013546",
            "telephone_number": "318-387-3453",
            "fax_number": "318-323-9045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1888 HUDSON CIR",
            "address_2": "STE 2",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712013546",
            "telephone_number": "318-387-3453",
            "fax_number": "318-323-9045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARRAZA",
        "first_name": "JOHN",
        "middle_name": "MICHAEL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-30",
        "last_updated": "2016-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "LA",
            "license": "016721",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1366889",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "115102001",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "300134865",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, LA

Sources for this page

Verify at the official NPI Registry.