Kimberly Patrice Barnaby, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

AB0774504-071 Issued in NY

Practice address

280 Union Ave
Holbrook, NY 11741-1832

Phone

(934) 213-4803

NPI assigned

Jun 24, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

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

Specialty

Family Practice

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Stony Brook Family and Preventive Medicine, University Faculty PracticGroup PAC ID 7113816273, 44 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Networks

• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H3359
• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H1722

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/EEFCAA
• FHIR API: https://epwebapps.acpny.com/FHIRproxy/ACPNY/api/FHIR/R4

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.

• Stony Brook Family and Preventive Medicine, University Faculty Practic

  • Family Medicine Physician
  • Stony Brook, NY
  • NPI 1982659470
  Medicare reassignment Care Compare group NPD
• Advantagecare Physicians PC

  • General Practice Physician
  • New York, NY
  • NPI 1336578772
  Medicare reassignment NPD
• Brookhaven Heart PLLC

  • Cardiovascular Disease Physician
  • Patchogue, NY
  • NPI 1639260607
  Medicare reassignment NPD
• Brookhaven Memorial Hospital Medical Center, Inc.

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Patchogue, NY
  • NPI 1417232760
  Medicare reassignment NPD
• Advantagecare Physicians PC

  • Internal Medicine Physician
  • Staten Island, NY
  • NPI 1063954113

  Family Medicine

  NPD
• Brookhaven Memorial Hospital Medical Center

  • Family Medicine Physician
  • Bellport, NY
  • NPI 1184041899
  NPD
• Long Island Community Hospital at NYU Langone Health

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Shirley, NY
  • NPI 1902029796
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1435104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738540800000",
    "number": "1952783045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 UNION AVE",
            "city": "HOLBROOK",
            "state": "NY",
            "postal_code": "117411832",
            "telephone_number": "934-213-4803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 UNION AVE",
            "city": "HOLBROOK",
            "state": "NY",
            "postal_code": "117411832",
            "telephone_number": "934-213-4803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARNABY",
        "first_name": "KIMBERLY",
        "middle_name": "PATRICE",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-24",
        "last_updated": "2025-02-03",
        "certification_date": "2025-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "AB0774504-071",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DRIVER'S LICENSE",
            "identifier": "648864745",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emily Arthurs
• Maureen Avella, R.N.
• Natasha Balashova, LPN, RN
• Najah Lee Ballard
• Briana Lynn Bancroft
• Gina Ann Barone
• Kenneth R. Barry, P.A.
• Erika Lynne Bauernfeind
• Barbara Ellen Bedford, LMSW
• Nicholas George Bello, D.M.D.

• Family Medicine Physician in Holbrook, NY
• Providers in Holbrook, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2025; 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.

Verify at the official NPI Registry.