JAMES THOMAS BARTON DO
NPI 1346869104
Student in an Organized Health Care Education/Training Program in Indianapolis, IN

Active since April 13, 2020PECOS EnrolledAccepts Medicare Assignment
2040 N SHADELAND AVE STE 220, INDIANAPOLIS, IN 46219(317) 355-1435 Get Directions Write a Review

NPPES record last updated: July 13, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 13, 2023, Jun 14, 2023, Jun 7, 2023 and 2 more (5 updates tracked since 2020).

About James Thomas Barton Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JAMES THOMAS BARTON DO (NPI 1346869104) is an individual student in an organized health care education/training program in Indianapolis, Indiana, licensed in Indiana (11021365A) and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS, is affiliated with Community Hospital North, and maintains a secondary practice location in Indianapolis.

NPPES Registry Identity

NPI1346869104
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJAMES THOMAS BARTONCredential: DO
Location Address2040 N SHADELAND AVE STE 220Indianapolis, IN 46219-1711
Mailing Address2040 N Shadeland Ave Ste 220Indianapolis, IN 46219-1711
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateApril 13, 2020
Last NPPES UpdateJuly 13, 20235 updates tracked since enumeration
NPPES CertifiedJuly 13, 2023
✔ NPI 1346869104 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
License✔ Licensed in IN · 11021365A
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
2040 N SHADELAND AVE STE 220, Indianapolis, IN 46219

Secondary Practice Location 1

Location 11520 N Senate AveIndianapolis, IN 46202-2213 · Phone (317) 962-0857

Other Identifiers 1

Medicaid300039436IN

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

James Thomas Barton Do is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1355763061
PECOS Enrollment IDI20240925004172
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show James Barton reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family Medicine
2040 N SHADELAND AVE, SUITE 300
Indianapolis, IN 46219
  • Reassigned Medicare billing, Indiana enrollment
  • Medicare enrollment name: Community Health Network Inc
  • 175 clinicians in this Medicare group
Family Medicine
7240 SHADELAND STATION, SUITE 300
Indianapolis, IN 46256
  • Reassigned Medicare billing, Indiana enrollment
  • 2,087 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Community Hospital North

Acute Care Hospitals · Indianapolis, IN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150169
Location7150 Clearvista DrIndianapolis, IN 46256 · Marion County
Emergency services Birthing friendly

Fairbanks

Acute Care Hospitals · Indianapolis, IN
OwnershipVoluntary non-profit - Private
CMS Certification Number150179
Location8102 Clearvista ParkwayIndianapolis, IN 46256 · Marion County

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Student in an Organized Health Care Education/Training Program
2040 N SHADELAND AVE STE 220
INDIANAPOLIS, IN 46219
Student in an Organized Health Care Education/Training Program
2040 N SHADELAND AVE STE 220
INDIANAPOLIS, IN 46219

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is James Barton's NPI number?

The NPI number for James Barton is 1346869104. It was assigned to this individual provider in the NPPES registry on April 13, 2020.

Where is James Barton located?

James Barton practices at 2040 N Shadeland Ave Ste 220, Indianapolis, IN 46219. The listed phone number is (317) 355-1435.

What is James Barton's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is James Barton enrolled in Medicare?

Yes. James Barton is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for James Barton's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Barton reassigns Medicare benefits to 2 organizations: Community Hospitals Of Indiana Inc (Indianapolis, IN) and Community Physicians Of Indiana Inc (Indianapolis, IN). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for James Barton's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does James Barton accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and Cigna Healthcare list James Barton as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is James Barton affiliated with any hospitals?

According to CMS data, James Barton is affiliated with Community Hospital North and Fairbanks.

When was this NPI record last updated?

The NPPES record for James Barton was last updated on July 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.