Individual provider Active NPI

Barry B Sheppard, MD

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Oakland, CA
National Provider Identifier
1760574917
Registry record updated May 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
G65691 Issued in CA
Practice address
3300 Webster St
Suite 500
Oakland, CA 94609-3117
Phone
(510) 465-6600
Fax
(510) 839-0806
NPI assigned
Sep 28, 2006
Last updated
May 2, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X G65691 CA Primary

Addresses

Primary practice location

3300 Webster St
Suite 500
Oakland, CA 94609-3117

Mailing address

3300 Webster St
Suite 500
Oakland, CA 94609-3117
Phone (510) 465-6600

Other identifiers 1

IdentifierTypeStateIssuer
00G656910MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20070425000569 CA Practitioner - Thoracic Surgery 0446356133 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Thoracic Surgery
Education
University of South Carolina School of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
East Bay Cardiovascular and Thoracic Associates IncGroup PAC ID 9032290770, 17 clinicians

Practice addresses (Care Compare)

4721 Dallas Ranch Rd
Antioch, CA 94531-8811
Phone (925) 676-2600

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
95.12
Promoting interoperability
100
Improvement activities
40
Cost
78.87

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
65691CAMDClinical Social Worker
G65691CAMDThoracic Surgery (Cardiothoracic Vascular Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
East Bay Cardiovascular and Thoracic Associates Inc. CurrentSince May 1, 2021 Accepting new patients
East Bay Cardiac Surgery Center Medical Group Thoracic Surgery (Cardiothoracic Vascular Surgery) CurrentSince Mar 27, 2011 Accepting new patients

Locations

4721 Dallas Ranch Rd
Antioch, CA 94531
Phone (925) 676-2600

1320 El Capitan Dr
Ste 120
Danville, CA 94526
Phone (925) 676-2600

3300 Webster St
Ste 500
Oakland, CA 94609
Phone (510) 465-6600

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: bsheppard46087@hisp.ehr.sutterhealth.org

Organizations & group practices 2

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 1

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": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1304294400000",
    "number": "1760574917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 WEBSTER ST",
            "address_2": "SUITE 500",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946093117",
            "telephone_number": "510-465-6600",
            "fax_number": "510-839-0806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 WEBSTER ST",
            "address_2": "SUITE 500",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946093117",
            "telephone_number": "510-465-6600",
            "fax_number": "510-839-0806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEPPARD",
        "first_name": "BARRY",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-28",
        "last_updated": "2011-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "CA",
            "license": "G65691",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G656910",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, CA

Sources for this page

Verify at the official NPI Registry.