Individual provider Active NPI

Rashid Ali E Barnawi, MBBS.

  • Diagnostic Radiology Physician
  • San Diego, CA
National Provider Identifier
1770112187
Registry record updated Aug 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
6289 Issued in CA
Practice address
200 W Arbor Dr # Mc8829
San Diego, CA 92103-1911
Phone
(619) 543-7242
NPI assigned
Apr 7, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2021

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 6289 CA Primary

Addresses

Primary practice location

200 W Arbor Dr # Mc8829
San Diego, CA 92103-1911

Mailing address

3535 Lebon Dr Apt 2309
San Diego, CA 92122-4595
Phone (410) 340-2116

Other identifiers 1

IdentifierTypeStateIssuer
10618973OtherECFMG CERTIFICATION

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20201230000003 MD Order and Referring Only - Internal MedicinePractitioner - Internal Medicine 5193138683

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mass General Brigham Community Physicians IncGroup PAC ID 1759273436, shared by 6 NPIs, 430 clinicians

Practice addresses (Care Compare)

170 Governors Ave
Medford, MA 02155-1643
Phone (781) 395-4909

30 Tuscan Blvd
Salem, NH 03079-3981
Phone (857) 282-8100

789 Central Ave
Dover, NH 03820-2526
Phone (603) 740-2250

81 Highland Ave
Salem, MA 01970-2714
Phone (978) 354-4181

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6289CAMDDiagnostic Radiology Physician

NPI Registry JSON

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

{
    "created_epoch": "1586217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630281600000",
    "number": "1770112187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3535 LEBON DR APT 2309",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921224595",
            "telephone_number": "410-340-2116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 W ARBOR DR # MC8829",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921031911",
            "telephone_number": "619-543-7242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARNAWI",
        "first_name": "RASHID",
        "middle_name": "ALI E",
        "name_prefix": "Mr.",
        "credential": "MBBS.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-07",
        "last_updated": "2021-08-30",
        "certification_date": "2021-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "6289",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ECFMG CERTIFICATION",
            "identifier": "10618973",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.