Individual provider Active NPI

Keith C Barkow, MD

  • Family Medicine Physician
  • Elkhart, IN
National Provider Identifier
1891767372
Registry record updated Mar 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
01048887A Issued in IN
Practice address
851 Parkway Ave
Elkhart, IN 46516-9334
Phone
(574) 537-0521
Fax
(574) 537-1217
NPI assigned
Feb 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 01048887A IN Primary

Addresses

Primary practice location

851 Parkway Ave
Elkhart, IN 46516-9334

Mailing address

226 US Highway 20
Middlebury, IN 46540-9713
Phone (574) 825-8068

Other identifiers 1

IdentifierTypeStateIssuer
200242310MedicaidIN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address keith.barkow@goshenhealthdirect.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20040617001673 IN Practitioner - Family Practice 1759365406 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Indiana University School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Goshen Health System IncGroup PAC ID 4880598572, 135 clinicians

Practice addresses (Care Compare)

226 W US Hwy 20
Middlebury, IN 46540-9713
Phone (574) 825-8068

2824 Elkhart Rd
Goshen, IN 46526-1014
Phone (574) 535-1700

2832 Elkhart Rd
Goshen, IN 46526-1014
Phone (574) 537-0219

851 Pkwy Ave
Elkhart, IN 46516-9334
Phone (574) 364-2875

Hospital & facility affiliations

  • Goshen Hospital Hospital, Goshen, IN, CCN 150026

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Melanoma (skin cancer) excision1-10
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01048887AINMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Goshen Hospital Association Inc Current Accepting new patients

Locations

2014 S Main St
Ste A
Goshen, IN 46526
Phone (219) 534-6752

226 W US Highway 20
Middlebury, IN 46540
Phone (574) 825-0290

Interoperability endpoints

  • Direct secure messaging: keith.barkow@goshenhealthdirect.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 and National Provider Directory roles.

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": "1139270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710720000000",
    "number": "1891767372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "226 US HIGHWAY 20",
            "city": "MIDDLEBURY",
            "state": "IN",
            "postal_code": "465409713",
            "telephone_number": "574-825-8068",
            "fax_number": "574-825-4873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "851 PARKWAY AVE",
            "city": "ELKHART",
            "state": "IN",
            "postal_code": "465169334",
            "telephone_number": "574-537-0521",
            "fax_number": "574-537-1217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARKOW",
        "first_name": "KEITH",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-07",
        "last_updated": "2024-03-18",
        "certification_date": "2024-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01048887A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200242310",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "keith.barkow@goshenhealthdirect.com",
            "affiliation": "N",
            "endpointDescription": "Effective 5/15/23",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "851 Parkway Ave",
            "city": "Elkhart",
            "state": "IN",
            "country_code": "US",
            "postal_code": "465169334",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Elkhart, IN

Sources for this page

Verify at the official NPI Registry.