Individual provider Active NPI

Barry Newman, MD

  • Pediatric Surgery Physician
  • Vancouver, WA
National Provider Identifier
1881668978
Registry record updated Oct 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Surgery PhysicianTaxonomy code 2086S0120X
License
MD.61671833 Issued in WA
Practice address
412 E 13TH St Apt 501
Vancouver, WA 98660-3526
Phone
(503) 467-8157
NPI assigned
Feb 15, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 30, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Surgery Physician 2086S0120X MD27491 OR
Pediatric Surgery Physician 2086S0120X V9511 TX
Pediatric Surgery Physician 2086S0120X MD.61671833 WA Primary

Addresses

Primary practice location

412 E 13TH St Apt 501
Vancouver, WA 98660-3526

Mailing address

412 E 13TH St Apt 501
Vancouver, WA 98660-3526
Phone (503) 467-8157

Other practice location 1

4845 Alameda Ave
El Paso, TX 79905-2705
Phone (915) 298-5444

Other identifiers 1

IdentifierTypeStateIssuer
244081MedicaidOR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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
I20250909001335 KS Practitioner - General SurgeryPractitioner - Other (Physician) 7911008867 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General SurgeryAlso: Preventive Medicine
Education
Other, 1976
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2000 Health Park Dr
Brentwood, TN 37027-4692

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
V9511TXMDPediatric Surgery Physician
MD.61671833WAMDPediatric Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatric Specialty Clinic, LLC CurrentSince Aug 13, 2025 Accepting new patients
Providence Health & Services Oregon Current Accepting new patients

Locations

12200 W 106th St
Ste 210
Overland Park, KS 66215
Phone (913) 327-1117

10500 Quivira Rd
Shawnee Mission, KS 66215
Phone (913) 227-0565

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1139961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761782400000",
    "number": "1881668978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "412 E 13TH ST APT 501",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986603526",
            "telephone_number": "503-467-8157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412 E 13TH ST APT 501",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986603526",
            "telephone_number": "503-467-8157"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4845 Alameda Ave",
            "address_purpose": "LOCATION",
            "city": "El Paso",
            "state": "TX",
            "postal_code": "799052705",
            "country_code": "US",
            "telephone_number": "915-298-5444",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NEWMAN",
        "first_name": "BARRY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-15",
        "last_updated": "2025-10-30",
        "certification_date": "2025-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0120X",
            "taxonomy_group": "",
            "desc": "Surgery, Pediatric Surgery",
            "state": "OR",
            "license": "MD27491",
            "primary": false
        },
        {
            "code": "2086S0120X",
            "taxonomy_group": "",
            "desc": "Surgery, Pediatric Surgery",
            "state": "TX",
            "license": "V9511",
            "primary": false
        },
        {
            "code": "2086S0120X",
            "taxonomy_group": "",
            "desc": "Surgery, Pediatric Surgery",
            "state": "WA",
            "license": "MD.61671833",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "244081",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

Verify at the official NPI Registry.