Individual provider Active NPI

Haldor P. Barnes, M.D.

  • Family Medicine Physician
  • Mashpee, MA
National Provider Identifier
1861428849
Registry record updated Mar 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
38308 Issued in MA
Practice address
5 Industrial Drive
Suite 100 Mashpee Family Medicine
Mashpee, MA 02649
Phone
(508) 477-4282
Fax
(508) 539-6134
NPI assigned
Jun 23, 2006
Last updated
Mar 10, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 38308 MA Primary
Family Medicine Physician 207Q00000X 016465 ME

Addresses

Primary practice location

5 Industrial Drive
Suite 100 Mashpee Family Medicine
Mashpee, MA 02649

Mailing address

PO Box 1500
Mashpee, MA 02649-1500
Phone (508) 477-4282

Other identifiers 2

IdentifierTypeStateIssuer
P00230567OtherMERAILROAD MEDICARE
431553599MedicaidME

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20050428000717 MA Practitioner - Addiction MedicinePractitioner - Family PracticePractitioner - Internal Medicine 9830173970 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
38308MAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Charles a Dean Memorial Hospital Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1394409600000",
    "number": "1861428849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1500",
            "city": "MASHPEE",
            "state": "MA",
            "postal_code": "026491500",
            "telephone_number": "508-477-4282",
            "fax_number": "508-539-6134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 INDUSTRIAL DRIVE",
            "address_2": "SUITE 100 MASHPEE FAMILY MEDICINE",
            "city": "MASHPEE",
            "state": "MA",
            "postal_code": "02649",
            "telephone_number": "508-477-4282",
            "fax_number": "508-539-6134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARNES",
        "first_name": "HALDOR",
        "middle_name": "P.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-23",
        "last_updated": "2014-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MA",
            "license": "38308",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ME",
            "license": "016465",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00230567",
            "state": "ME"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "431553599",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mashpee, MA

Sources for this page

Verify at the official NPI Registry.