Daniel A Barrett, MD
Individual provider Active NPI Pediatrics Physician · Granger, IN
NPI 1972593440 · NPPES record last updated Aug 2, 2016
Key facts
- NPI
- 1972593440
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatrics Physician 208000000X
- License
- 01031708A (IN)
- Practice address
- 52500 Fir Rd
Granger, IN 46530-8579 - Phone
- (574) 204-7050
- Fax
- (574) 204-7051
- NPI assigned
- Oct 26, 2005
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01031708A | IN | MD | Pediatrics Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 01031708A | IN | Yes |
Addresses
Primary practice location
52500 Fir Rd
Granger, IN 46530-8579
Mailing address
52500 Fir Rd
Granger, IN 46530-8579
Phone (574) 204-7050
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100138880 | Medicaid | IN |
Other providers in Granger, IN
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- Aunova Home Care, LLC
- Natali M Balog
- Timothy Lawrence Baranowski
- Avis Lorraine Barker
- Aatif Basher
- Douglas Craig Bateman
- David S Battle
- Jane E Beachy
- Beacon Health, LLC
All providers in Granger, IN · Pediatrics Physician in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 2, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.