Individual provider Active NPI

Andria Lee Barr, DO

  • Obstetrics & Gynecology Physician
  • Bettendorf, IA
National Provider Identifier
1720102320
Registry record updated Aug 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
3775 Issued in IA
Practice address
4480 Utica Ridge Rd
Ste. 1140
Bettendorf, IA 52722-1656
Phone
(563) 742-5700
Fax
(563) 742-5705
NPI assigned
Mar 19, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 036118264 IL
Obstetrics & Gynecology Physician 207V00000X 3775 IA Primary

Addresses

Primary practice location

4480 Utica Ridge Rd
Ste. 1140
Bettendorf, IA 52722-1656

Mailing address

4480 Utica Ridge Rd
Ste. 1140
Bettendorf, IA 52722-1656
Phone (563) 742-5700

Other identifiers 2

IdentifierTypeStateIssuer
1720102320MedicaidIA
036.118264MedicaidIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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
I20070522000373 IA Practitioner - Obstetrics/Gynecology 3274630595 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Des Moines University of Osteopathic Medicine and Health Sciences, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Iowa Physicians Clinic Medical FoundationGroup PAC ID 8729992318, 1,254 clinicians

Practice addresses (Care Compare)

4480 Utica Ridge Rd
Bettendorf, IA 52722-1644

4500 Utica Ridge Rd
Bettendorf, IA 52722-1626
Phone (309) 779-3100

Hospital & facility affiliations

  • Trinity - Bettendorf Hospital, Bettendorf, IA, CCN 160104
  • Trinity Rock Island Hospital, Rock Island, IL, CCN 140280

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3775IAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Iowa Physicians Clinic Medical Foundation Obstetrics & Gynecology CurrentSince Apr 1, 2012 Accepting new patients
St Luke'S Methodist Hospital Current Accepting new patients
Trinity Medical Center Past Accepting new patients

Locations

4500 Utica Ridge Rd
Bettendorf, IA 52722
Phone (563) 742-2724

4480 Utica Ridge Rd
Ste 160
Bettendorf, IA 52722
Phone (563) 742-5950

4480 Utica Ridge Rd
Ste 2230
Bettendorf, IA 52722
Phone (563) 742-5150

4480 Utica Ridge Rd
Ste 1140
Bettendorf, IA 52722
Phone (563) 359-9805

8101 Birchwood Ct
Unit R
Urbandale, IA 50131
Phone (515) 471-9363

2701 17th St
Rock Island, IL 61201
Phone (309) 779-3200

Interoperability endpoints

  • Direct secure messaging: abarr92088@direct.unitypoint.org

Organizations & group practices 3

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": "1174262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597276800000",
    "number": "1720102320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4480 UTICA RIDGE RD",
            "address_2": "STE. 1140",
            "city": "BETTENDORF",
            "state": "IA",
            "postal_code": "527221656",
            "telephone_number": "563-742-5700",
            "fax_number": "563-742-5705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4480 UTICA RIDGE RD",
            "address_2": "STE. 1140",
            "city": "BETTENDORF",
            "state": "IA",
            "postal_code": "527221656",
            "telephone_number": "563-742-5700",
            "fax_number": "563-742-5705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARR",
        "first_name": "ANDRIA",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-19",
        "last_updated": "2020-08-13",
        "certification_date": "2020-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IL",
            "license": "036118264",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IA",
            "license": "3775",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1720102320",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036.118264",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bettendorf, IA

Sources for this page

Verify at the official NPI Registry.