Individual provider Active NPI

Stacey Fitzsimmons Barrie, MD

  • Obstetrics & Gynecology Physician
  • Fremont, CA
National Provider Identifier
1841268646
Registry record updated May 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
A061094 Issued in CA
Practice address
2299 Mowry Avenue
Suite 3a
Fremont, CA 94538-1621
Phone
(510) 794-1411
Fax
(510) 794-1570
NPI assigned
Mar 9, 2006
Last updated
May 3, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 3, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X A061094 CA Primary

Addresses

Primary practice location

2299 Mowry Avenue
Suite 3a
Fremont, CA 94538-1621

Mailing address

2299 Mowry Avenue
Suite 3a
Fremont, CA 94538-1621
Phone (510) 794-1411

Other identifiers 2

IdentifierTypeStateIssuer
ZZZ02038ZOtherBLUE SHIELD
GR0094770MedicaidCA

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
I20081210000159 CA Practitioner - Obstetrics/Gynecology 4486715307 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Saint Louis University School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2299 Mowry Ave
Fremont, CA 94538-1621

39500 Fremont Blvd
Suite 100
Fremont, CA 94538-2101
Phone (510) 687-9510

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.74 of 100Reported as group
Quality
66.48
Promoting interoperability
100
Improvement activities
40
Cost
75.97

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A061094CAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Washington Township Medical Foundation Obstetrics & Gynecology CurrentSince Nov 1, 2010 Accepting new patients
Washington Township Medical Foundation CurrentSince Nov 1, 2010 Accepting new patients

Locations

2299 Mowry Ave
Ste 3A
Fremont, CA 94538
Phone (510) 585-5233

2299 Mowry Ave
Ste 3C
Fremont, CA 94538
Phone (510) 248-1470

2500 Mowry Ave
Ste 255
Fremont, CA 94538

2557 Mowry Ave
Ste 10
Fremont, CA 94538
Phone (510) 248-1843

39500 Fremont Blvd
Ste 100
Fremont, CA 94538
Phone (510) 248-1800

Interoperability endpoints

  • Direct secure messaging: sbarrie7085@direct.whhs.com

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": "1141862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1336003200000",
    "number": "1841268646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2299 MOWRY AVENUE",
            "address_2": "SUITE 3A",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945381621",
            "telephone_number": "510-794-1411",
            "fax_number": "510-794-1570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2299 MOWRY AVENUE",
            "address_2": "SUITE 3A",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945381621",
            "telephone_number": "510-794-1411",
            "fax_number": "510-794-1570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARRIE",
        "first_name": "STACEY",
        "middle_name": "FITZSIMMONS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-09",
        "last_updated": "2012-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "A061094",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "ZZZ02038Z",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0094770",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fremont, CA

Sources for this page

Verify at the official NPI Registry.