Individual provider Active NPI

Simone Alexandra Barker, MD

  • Otolaryngology Physician
  • Folsom, CA
National Provider Identifier
1972063378
Registry record updated Jun 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
A196443 Issued in CA
Practice address
1561 Creekside Dr Ste 180
Folsom, CA 95630-3495
Phone
(916) 984-8830
Fax
(916) 984-8834
NPI assigned
Mar 21, 2019
Last updated
Jun 28, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X A196443 CA Primary

Addresses

Primary practice location

1561 Creekside Dr Ste 180
Folsom, CA 95630-3495

Mailing address

1111 Exposition Blvd BLDG 700
Sacramento, CA 95815-4314
Phone (916) 736-3399

Other practice location 1

1111 Exposition Blvd Bldg 700
Sacramento, CA 95815-4314
Phone (916) 736-3399

Other practice location 2

2 Medical Plaza Dr Ste 225
Roseville, CA 95661-3044
Phone (916) 782-1291

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20240805000213 CA Practitioner - Otolaryngology 3678800331 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
University of Texas Medical School at San Antonio, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1561 Creekside Dr
Suite 180
Folsom, CA 95630-3495
Phone (916) 984-8830

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
74.25 of 100Reported as group
Quality
51.19
Promoting interoperability
94
Improvement activities
40
Cost
61.73

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A196443CAMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sacramento Ear Nose & Throat Surgical & Medical Group Inc Otolaryngology CurrentSince Sep 30, 2024 Accepting new patients
Sutter North Medical Foundation Past Accepting new patients

Locations

1561 Creekside Dr
Ste 180
Folsom, CA 95630
Phone (916) 984-4883

2 Medical Plaza Dr
Ste 225
Roseville, CA 95661
Phone (916) 782-1291

1111 Exposition Blvd
Bldg 700
Sacramento, CA 95815
Phone (916) 736-3399

1111 Exposition Blvd
Ste 700
Sacramento, CA 95815
Phone (916) 736-3399

Interoperability endpoints

  • Direct secure messaging: sbarker690020@hisp.ehr.sutterhealth.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1553126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719532800000",
    "number": "1972063378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 EXPOSITION BLVD BLDG 700",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958154314",
            "telephone_number": "916-736-3399",
            "fax_number": "916-736-3350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1561 CREEKSIDE DR STE 180",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956303495",
            "telephone_number": "916-984-8830",
            "fax_number": "916-984-8834"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1111 Exposition Blvd Bldg 700",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "958154314",
            "country_code": "US",
            "telephone_number": "916-736-3399",
            "fax_number": "916-736-3350",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2 Medical Plaza Dr Ste 225",
            "address_purpose": "LOCATION",
            "city": "Roseville",
            "state": "CA",
            "postal_code": "956613044",
            "country_code": "US",
            "telephone_number": "916-782-1291",
            "fax_number": "916-782-5992",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BARKER",
        "first_name": "SIMONE",
        "middle_name": "ALEXANDRA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-21",
        "last_updated": "2024-06-28",
        "certification_date": "2024-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "CA",
            "license": "A196443",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Folsom, CA

Sources for this page

Verify at the official NPI Registry.