Rudy A Barba, M.D.

Individual provider Active NPI Psychiatry Physician · Harrisville, MI

NPI 1831280569 · NPPES record last updated Feb 25, 2021

Key facts

NPI
1831280569
Entity type
Individual (NPI type 1)
Primary specialty
Psychiatry Physician 2084P0800X
License
4301077167 (MI)
Practice address
177 N Barlow Rd
Harrisville, MI 48740-9607
Phone
(989) 736-8157
NPI assigned
Sep 27, 2006
Sex
Male
Sole proprietor
No

Organizations & group practices 20

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.

Medicare Care Compare profile

Specialty
Psychiatry
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alcona Citizens for Health Inc (65 clinicians)

Practice addresses (Care Compare)

177 N Barlow Rd
Harrisville, MI 48740-9607
Phone (989) 736-8157

181 N Barlow Rd
Ahc Tiger Health Extension
Harrisville, MI 48740-9607
Phone (989) 736-8716

3434 M
119 Suite C
Harbor Springs, MI 49740-9373
Phone (231) 348-9900

Medicare participation

Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20050609000936 MI Practitioner - Psychiatry 8820031867 Reassigns benefits to 2 organizations

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Ausable Valley Community Mental Health Services Board Current
since Sep 13, 2012
Accepting new patients
Mymichigan Medical Center Alpena Current
since Aug 6, 2001
Accepting new patients
Mymichigan Medical Center Alpena Current
since Aug 6, 2001
Accepting new patients
Ausable Valley CMH Past Accepting new patients

Locations

1501 W Chisholm St
Alpena, MI 49707
Phone (989) 356-7000

177 N Barlow Rd
Harrisville, MI 48740
Phone (989) 736-3020

4000 Wellness Dr
Midland, MI 48670
Phone (844) 832-1956

1199 Harris Ave
Tawas City, MI 48763
Phone (517) 362-7800

511 Griffin Rd
West Branch, MI 48661
Phone (989) 345-5540

Interoperability endpoints

  • Direct secure messaging: rudy.barba.p1@direct.alcona.nextgenshare.com

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 4301077167 MI Yes

Addresses

Primary practice location

177 N Barlow Rd
Harrisville, MI 48740-9607

Mailing address

2120 Wyndham LN
Alpena, MI 49707-7956

Other practice location 1

1501 W Chisholm St
Alpena, MI 49707-1401
Phone (989) 356-7390

Other identifiers

IdentifierTypeStateIssuer
4331914MedicaidMI

Electronic endpoints

TypeEndpointUseAffiliation
Direct Messaging Address rudy.barba.p1@direct.alcona.nextgenshare.com

Other providers in Harrisville, MI

All providers in Harrisville, MI · Psychiatry Physician in Michigan

Sources for this page

Verify at the official NPI Registry.