Active NPI
David John Barth, PA-C
- Physician Assistant
- Henderson, NV
National Provider Identifier
1992960579
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 1121
- Practice address
- 2779 W Horizon Ridge Pkwy Ste 140
Henderson, NV 89052-4186 - Phone
- (702) 589-9250
- Fax
- (702) 589-9257
- NPI assigned
- Jul 23, 2008
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
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.
-
- Sports Medicine (Orthopaedic Surgery) Physician
- Henderson, NV
- NPI 1487788873
NV
-
- Surgical Physician Assistant
- Las Vegas, NV
- NPI 1104162643
-
- General Acute Care Hospital
- Las Vegas, NV
- NPI 1689611774
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 87.73 of 100
- Quality
- 100
- Improvement activities
- 40
- Cost
- 59.09
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20081020000438 | NV | Practitioner - Physician Assistant | 0244398220 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1121 | NV | MD | Contractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sunrise Hospital and Medical Center, LLC | Past | Accepting new patients | |
| David J Barth P.C. | Past | Accepting new patients |
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 1121 | NV | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
2779 W Horizon Ridge Pkwy Ste 140
Henderson, NV 89052-4186
Mailing address
10170 W Tropicana Ave # 156-290
Las Vegas, NV 89147-8465
Phone (855) 722-7747
Other identifiers 1
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992960579 | Medicaid | NV |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 9, 2023.
{
"created_epoch": "1216771200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1683590400000",
"number": "1992960579",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10170 W TROPICANA AVE # 156-290",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891478465",
"telephone_number": "855-722-7747",
"fax_number": "855-458-2910"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2779 W HORIZON RIDGE PKWY STE 140",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890524186",
"telephone_number": "702-589-9250",
"fax_number": "702-589-9257"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARTH",
"first_name": "DAVID",
"middle_name": "JOHN",
"name_prefix": "Mr.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-07-23",
"last_updated": "2023-05-09",
"certification_date": "2023-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NV",
"license": "1121",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1992960579",
"state": "NV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Henderson, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2023; 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.