Individual provider Active NPI

Carol A Barrette, MD

  • Orthopaedic Surgery Physician
  • Worcester, MA
National Provider Identifier
1902877384
Registry record updated Apr 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
78275 Issued in MA
Practice address
123 Summer St Ste 320
Worcester, MA 01608-1216
Phone
(508) 964-5580
Fax
(508) 368-3143
NPI assigned
Feb 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 034018 CT
Orthopaedic Surgery Physician 207X00000X 78275 MA Primary

Addresses

Primary practice location

123 Summer St Ste 320
Worcester, MA 01608-1216

Mailing address

123 Summer St Ste 320
Worcester, MA 01608-1216
Phone (508) 964-5580

Other identifiers 1

IdentifierTypeStateIssuer
110053513AMedicaidMA

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
I20050616001140 MA Practitioner - Orthopedic Surgery 9032153390 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Rush Medical College of Rush University, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Reliant Medical Group IncGroup PAC ID 5597755322, 638 clinicians

Practice addresses (Care Compare)

123 Summer St
Worcester, MA 01608-1216
Phone (508) 363-5000

Hospital & facility affiliations

  • St Vincent Hospital Hospital, Worcester, MA, CCN 220176

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
034018CTMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Reliant Medical Group, Inc CurrentSince Jan 29, 2018 Accepting new patients
Reliant Medical Group, Inc Past Accepting new patients
Paul a. Cournoyer D.P.M., P.C. Past Accepting new patients

Locations

123 Summer St
Ste 535
Worcester, MA 01608
Phone (508) 363-5189

123 Summer St
Worcester, MA 01608
Phone (508) 363-6000

123 Summer St
Ste 550
Worcester, MA 01608
Phone (508) 363-6868

5 Neponset St
Worcester, MA 01606
Phone (508) 595-2300

123 Summer St
Ste 320S
Worcester, MA 01608
Phone (508) 964-5580

123 Summer St
Ste 320
Worcester, MA 01608
Phone (508) 368-3140

123 Summer St
#550
Worcester, MA 01608
Phone (508) 363-6868

Organizations & group practices 3

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": "1138752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617321600000",
    "number": "1902877384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 SUMMER ST STE 320",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016081216",
            "telephone_number": "508-964-5580",
            "fax_number": "508-368-3143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 SUMMER ST STE 320",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016081216",
            "telephone_number": "508-964-5580",
            "fax_number": "508-368-3143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARRETTE",
        "first_name": "CAROL",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-01",
        "last_updated": "2021-04-02",
        "certification_date": "2021-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CT",
            "license": "034018",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MA",
            "license": "78275",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110053513A",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Worcester, MA

Sources for this page

Verify at the official NPI Registry.