Active NPI
Michael Roy Barnes, M.D.
- Family Medicine Physician
- Avon, IN
National Provider Identifier
1669439220
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 01051107
- Practice address
- 1115 Ronald Reagan Pkwy
Suite 141
Avon, IN 46123-6910 - Phone
- (317) 278-3200
- Fax
- (317) 274-7849
- NPI assigned
- Apr 27, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 01051107 | IN | Primary |
Addresses
Primary practice location
1115 Ronald Reagan Pkwy
Suite 141
Avon, IN 46123-6910
Mailing address
1115 Ronald Reagan Pkwy
Suite 141
Avon, IN 46123-6910
Phone (317) 278-3200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Family Physicians, Inc. | Family Medicine | Past | Accepting new patients |
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.
-
- Family Medicine Physician
- Indianapolis, IN
- NPI 1043275787
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146096000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1196812800000",
"number": "1669439220",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1115 RONALD REAGAN PKWY",
"address_2": "SUITE 141",
"city": "AVON",
"state": "IN",
"postal_code": "461236910",
"telephone_number": "317-278-3200",
"fax_number": "317-274-7849"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1115 RONALD REAGAN PKWY",
"address_2": "SUITE 141",
"city": "AVON",
"state": "IN",
"postal_code": "461236910",
"telephone_number": "317-278-3200",
"fax_number": "317-274-7849"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARNES",
"first_name": "MICHAEL",
"middle_name": "ROY",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-27",
"last_updated": "2007-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IN",
"license": "01051107",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Avon, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.