NPIMap

Individual provider Active NPI

Iyad B Barakat, MD

  • Nephrology Physician
  • Warner Robins, GA
National Provider Identifier
1992751093
Registry record updated Mar 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
050787 Issued in GA
Practice address
105 Tommy Stalnaker Dr
Suite 1
Warner Robins, GA 31088-8956
Phone
(478) 333-3612
Fax
(478) 333-3631
NPI assigned
May 26, 2006
Last updated
Mar 26, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 050787 GA
Nephrology Physician 207RN0300X 050787 GA Primary

Addresses

Primary practice location

105 Tommy Stalnaker Dr
Suite 1
Warner Robins, GA 31088-8956

Mailing address

105 Tommy Stalnaker Dr
Suite 1
Warner Robins, GA 31088-8956
Phone (478) 333-3612

Other identifiers 4

IdentifierTypeStateIssuer
148116723NMedicaidGA
148116723ABMedicaidGA
148116723OMedicaidGA
148116723QMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040416000151 GA Practitioner - NephrologyPractitioner - Internal Medicine 2264427608 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

105 Tommy Stalnaker Dr
Suite 1
Warner Robins, GA 31088-8035
Phone (478) 333-3612

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hypertension and Kidney Associates of Middle Georgia, LLC Nephrology CurrentSince Sep 1, 2007 Accepting new patients

Locations

105 Tommy Stalnaker Dr
Warner Robins, GA 31088
Phone (478) 333-3612

105 Tommy Stalnaker Dr
Ste 1
Warner Robins, GA 31088
Phone (478) 333-3612

Interoperability endpoints

  • Direct secure messaging: iyad.barakat@hk.eclinicaldirectplus.com

Organizations & group practices 1

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 7

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": "1148601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427328000000",
    "number": "1992751093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 TOMMY STALNAKER DR",
            "address_2": "SUITE 1",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310888956",
            "telephone_number": "478-333-3612",
            "fax_number": "478-333-3631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 TOMMY STALNAKER DR",
            "address_2": "SUITE 1",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310888956",
            "telephone_number": "478-333-3612",
            "fax_number": "478-333-3631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARAKAT",
        "first_name": "IYAD",
        "middle_name": "B",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-26",
        "last_updated": "2015-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "050787",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "GA",
            "license": "050787",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "148116723N",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "148116723AB",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "148116723O",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "148116723Q",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Warner Robins, GA

Sources for this page

Verify at the official NPI Registry.