Active NPI
Keith C Barkow, MD
- Family Medicine Physician
- Elkhart, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 01048887A
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200242310 | Medicaid | IN |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
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
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
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Melanoma (skin cancer) excision | 1-10 |
| Removal of skin lesions | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01048887A | IN | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New 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
- 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.
-
- Family Medicine Physician
- Goshen, IN
- NPI 1194772293
-
- General Acute Care Hospital
- Goshen, IN
- NPI 1740268846
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Goshen, IN
- NPI 1740268846
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.