Ruben Michael Barroso, DO
Individual provider Active NPI Family Medicine Physician · Manistee, MI
NPI 1922673243 · NPPES record last updated Jan 5, 2026
Key facts
- NPI
- 1922673243
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 5101027732 (MI)
- Practice address
- 1391 E Parkdale Ave
Manistee, MI 49660-9352 - Phone
- (231) 398-1878
- NPI assigned
- May 20, 2021
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 16
Hospital & facility affiliations 5
Medicare Care Compare profile
- 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
- Munson Healthcare Manistee Hospital
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
- Northern Home Care, Inc
- Munson Home Care
- Advisacare Solutions of Northern Michigan, LLC
- Munson Healthcare Manistee Hospital
- Paul Oliver Memorial Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in TX, MI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20221012000941 | TX | Practitioner - Family Practice | 6305212655 | Reassigns benefits to 1 organization |
| I20240709000237 | MI | Practitioner - Family Practice | 6305212655 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7732 | OK | MD | Pharmacist |
| 0462R | OK | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cherokee Nation | Current | Accepting new patients | |
| Cherokee Nation | Current | Accepting new patients | |
| Munson Medical Center | Family Medicine | Current |
Accepting new patients |
| Cherokee Nation | Current |
Accepting new patients | |
| Cherokee Nation | Current | Accepting new patients | |
| Birch Shore Primary Care PLLC | Current | Accepting new patients | |
| Munson Medical Center | Current | Accepting new patients | |
| Munson Healthcare Manistee Hospital | Current | Accepting new patients | |
| Munson Healthcare Manistee Hospital | Current |
Accepting new patients | |
| Munson Healthcare Manistee Hospital | Family Medicine | Current |
Accepting new patients |
| Cherokee Nation | Current | Accepting new patients | |
| Cherokee Nation | Current |
Accepting new patients | |
| Munson Medical Center | 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
1105 Sixth St
Traverse City, MI 49684
Phone (231) 922-9000
1400 Medical Campus Dr
Traverse City, MI 49684
Phone (231) 935-8000
550 Munson Ave
Traverse City, MI 49686
Phone (231) 935-6600
3074 US 31 S
Traverse City, MI 49684
Phone (231) 642-5419
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
19600 E Ross St
Tahlequah, OK 74464
Phone (539) 234-1000
100 S Bliss Ave
Tahlequah, OK 74464
Phone (918) 458-3100
Dept 2269
Tulsa, OK 74182
27371 S 4410 Rd
Vinita, OK 74301
Phone (918) 256-4800
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 5101027732 | MI | Yes |
| 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
1105 Sixth St
Traverse City, MI 49684-2345
Phone (231) 935-5000
Other practice location 2
3074 N US 31 S
Traverse City, MI 49684-4533
Phone (231) 929-1234
Other practice location 3
100 S Bliss Ave
Tahlequah, OK 74464-2512
Phone (918) 458-3100
Other practice location 4
550 Munson Ave
Traverse City, MI 49686-3580
Phone (231) 935-8686
Other providers in Manistee, MI
- Baldwin Family Health Care
- Kevin Ballmer
- Erin Elizabeth Barbus
- James Barczewski
- Eduardo V Barlan
- Shauna Elisse Barroso
- Robert L Barry
- Margaret R Batzer
- Theodore N Batzer
- Ashley Nicole Bauman
All providers in Manistee, MI · Family Medicine Physician in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 5, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.