Individual provider Active NPI

Ruben Michael Barroso, DO

  • Family Medicine Physician
  • Manistee, MI
National Provider Identifier
1922673243
Registry record updated Oct 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
5101027732 Issued in MI
Practice address
1391 E Parkdale Ave
Manistee, MI 49660-9352
Phone
(231) 398-1878
NPI assigned
May 20, 2021
Last updated
Oct 28, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2026

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 5101027732 MI Primary
Family Medicine Physician 207Q00000X 0462R OK

Addresses

Primary practice location

1391 E Parkdale Ave
Manistee, MI 49660-9352

Mailing address

1391 E Parkdale Ave
Manistee, MI 49660-9352
Phone (231) 398-1878

Other practice location 1

3074 N US 31 S
Traverse City, MI 49684-4533
Phone (231) 929-1234

Other practice location 2

1293 E Parkdale Ave
Manistee, MI 49660-8904
Phone (231) 398-1840

Other practice location 3

1105 Sixth St
Traverse City, MI 49684-2345
Phone (231) 935-5000

Other practice location 4

550 Munson Ave
Traverse City, MI 49686-3580
Phone (231) 935-8686

Other practice location 5

100 S Bliss Ave
Tahlequah, OK 74464-2512
Phone (918) 458-3100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, MI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20221012000941 TX Practitioner - Family Practice 6305212655 Reassigns benefits to 1 organization
I20240709000237 MI Practitioner - Family Practice 6305212655 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Oklahoma State University College of Osteopathic Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1293 E Parkdale Ave
Manistee, MI 49660-8904

1391 E Parkdale Ave
Manistee, MI 49660-9352

1465 E Parkdale Ave
Manistee, MI 49660-9709

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
7732OKMDPharmacist
0462ROKMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cherokee Nation CurrentSince Jul 1, 2022 Accepting new patients
Munson Medical Center Current Accepting new patients
Cherokee Nation CurrentSince Jul 1, 2022 Accepting new patients
Birch Shore Primary Care PLLC CurrentSince Nov 1, 2026 Accepting new patients
Munson Healthcare Manistee Hospital Current Accepting new patients
Munson Healthcare Manistee Hospital CurrentSince Aug 1, 2024 Accepting new patients
Cherokee Nation Current Accepting new patients
Cherokee Nation Current Accepting new patients
Cherokee Nation Current Accepting new patients
Munson Healthcare Manistee Hospital Family Medicine CurrentSince Aug 1, 2024 Accepting new patients
Munson Medical Center Family Medicine CurrentSince Aug 5, 2024 Accepting new patients
Munson Medical Center CurrentSince Aug 5, 2024 Accepting new patients
Cherokee Nation Current Accepting new patients
Cherokee Nation Current Accepting new patients
Munson Healthcare Manistee Hospital Past Accepting new patients

Locations

2513 Momentum Pl
Chicago, IL 60689
Phone (231) 935-8031

1391 E Parkdale Ave
Manistee, MI 49660
Phone (231) 398-1760

1465 E Parkdale Ave
Manistee, MI 49660
Phone (231) 398-1000

3021 Schoedel Rd
Manistee, MI 49660
Phone (231) 397-9229

1105 Sixth St
Traverse City, MI 49684
Phone (231) 922-9000

1400 Medical Campus Dr
Traverse City, MI 49684
Phone (231) 935-8000

3074 US 31 S
Traverse City, MI 49684
Phone (231) 642-5419

550 Munson Ave
Traverse City, MI 49686
Phone (231) 935-6600

859 E Melton Dr
Jay, OK 74346
Phone (918) 253-4271

1001 S 41st St E
#3
Muskogee, OK 74403
Phone (918) 687-0201

1020 Lenape Dr
Nowata, OK 74048
Phone (918) 273-0192

900 N Owen Walters Blvd
Salina, OK 74365
Phone (918) 434-8500

100 S Bliss Ave
Tahlequah, OK 74464
Phone (918) 458-3100

19600 E Ross St
Tahlequah, OK 74464
Phone (539) 234-1000

Dept 2269
Tulsa, OK 74182

27371 S 4410 Rd
Vinita, OK 74301
Phone (918) 256-4800

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 5

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": "1621468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1793145600000",
    "number": "1922673243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1391 E PARKDALE AVE",
            "city": "MANISTEE",
            "state": "MI",
            "postal_code": "496609352",
            "telephone_number": "231-398-1878",
            "fax_number": "231-398-1768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1391 E PARKDALE AVE",
            "city": "MANISTEE",
            "state": "MI",
            "postal_code": "496609352",
            "telephone_number": "231-398-1878"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3074 N US 31 S",
            "address_purpose": "LOCATION",
            "city": "Traverse City",
            "state": "MI",
            "postal_code": "496844533",
            "country_code": "US",
            "telephone_number": "231-929-1234",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1293 E Parkdale Ave",
            "address_purpose": "LOCATION",
            "city": "Manistee",
            "state": "MI",
            "postal_code": "496608904",
            "country_code": "US",
            "telephone_number": "231-398-1840",
            "fax_number": "231-398-1835",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1105 Sixth St",
            "address_purpose": "LOCATION",
            "city": "Traverse City",
            "state": "MI",
            "postal_code": "496842345",
            "country_code": "US",
            "telephone_number": "231-935-5000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "550 Munson Ave",
            "address_purpose": "LOCATION",
            "city": "Traverse City",
            "state": "MI",
            "postal_code": "496863580",
            "country_code": "US",
            "telephone_number": "231-935-8686",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 S Bliss Ave",
            "address_purpose": "LOCATION",
            "city": "Tahlequah",
            "state": "OK",
            "postal_code": "744642512",
            "country_code": "US",
            "telephone_number": "918-458-3100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BARROSO",
        "first_name": "RUBEN",
        "middle_name": "MICHAEL",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-05-20",
        "last_updated": "2026-10-28",
        "certification_date": "2026-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "5101027732",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "0462R",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manistee, MI

Sources for this page

Verify at the official NPI Registry.