NPIMap

Organization Active NPI

Viktoriya Barg DPM PC

  • Podiatrist
  • Farmington Hills, MI
National Provider Identifier
1700946928
Registry record updated Aug 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
5901002190 Issued in MI
Legal business name
VIKTORIYA BARG DPM PC
Practice address
32910 W 13 Mile Rd
Ste. C300
Farmington Hills, MI 48334-1980
Phone
(248) 996-1020
Fax
(248) 996-1023
NPI assigned
Dec 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2013

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

Authorized official

Name
Dr. Viktoriya Barg, DPMNPI 1164402277
Title
Owner and Physician
Phone
(248) 996-1020

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 213E00000X 5901002190 MI Primary
Foot & Ankle Surgery PodiatristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 213ES0103X 5901002190 MI

Addresses

Primary practice location

32910 W 13 Mile Rd
Ste. C300
Farmington Hills, MI 48334-1980

Mailing address

32910 W 13 Mile Rd
Suite C300
Farmington Hills, MI 48334-1980
Phone (248) 996-1020

Other identifiers 3

IdentifierTypeStateIssuer
4997427MedicaidMI
4855012210OtherMIBLUECROSS BLUESHIELD NUMB
1164402277MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070305000015 MI Part B Supplier - Clinic/Group Practice 3274635636 Receives reassigned benefits from 1 practitioner
Practice locations: Farmington Hills, MI

National Provider Directory

National Provider Directory

Locations

32910 W 13 Mile Rd
Ste 300
Farmington Hills, MI 48334
Phone (248) 855-8707

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376352000000",
    "number": "1700946928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32910 W 13 MILE RD",
            "address_2": "SUITE C300",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483341980",
            "telephone_number": "248-996-1020",
            "fax_number": "248-996-1023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32910 W 13 MILE RD",
            "address_2": "STE. C300",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483341980",
            "telephone_number": "248-996-1020",
            "fax_number": "248-996-1023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIKTORIYA BARG DPM PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-11",
        "last_updated": "2013-08-13",
        "status": "A",
        "authorized_official_last_name": "BARG",
        "authorized_official_first_name": "VIKTORIYA",
        "authorized_official_title_or_position": "OWNER AND PHYSICIAN",
        "authorized_official_telephone_number": "248-996-1020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": "MI",
            "license": "5901002190",
            "primary": true
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MI",
            "license": "5901002190",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4997427",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHIELD NUMB",
            "identifier": "4855012210",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1164402277",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.