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BIANCA BARBAT M.D.
NPI 1407269327
Internal Medicine - Hematology & Oncology in Southfield, MI

Active since June 09, 2014PECOS EnrolledAccepts Medicare Assignment
16001 W 9 MILE RD, SOUTHFIELD, MI 48075(248) 849-3281 Get Directions Write a Review

NPPES record last updated: April 1, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Bianca Barbat M.d. NPPES

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

BIANCA BARBAT M.D. (NPI 1407269327) is an individual hematology & oncology provider in Southfield, Michigan, licensed in Michigan (4301501721) and active in the NPI registry since June 2014. She is enrolled in Medicare PECOS, is affiliated with Henry Ford Macomb Hospital, and maintains a secondary practice location in Detroit.

NPPES Registry Identity

NPI1407269327
Entity TypeIndividualFemale
Primary Taxonomy207RH0003X
Provider Legal NameBIANCA BARBATCredential: M.D.
Location Address16001 W 9 MILE RDSouthfield, MI 48075-4818
Mailing Address16001 W 9 Mile RdSouthfield, MI 48075-4818 · (248) 849-3281
Phone(248) 849-3281
Sole ProprietorYes
Medical School CMSOtherGraduated 2014
Enumeration DateJune 9, 2014
Last NPPES UpdateApril 1, 2025
NPPES CertifiedApril 1, 2025
✔ NPI 1407269327 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
License✔ Licensed in MI · 4301501721
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
Also ListedInternal MedicineTaxonomy 207R00000X · License 4301501721 (MI)
16001 W 9 MILE RD, Southfield, MI 48075
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Secondary Practice Location 1

Location 12799 W Grand Boulevard NullDetroit, MI 48267-4818 · Phone (313) 916-2000

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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

Bianca Barbat M.d. 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 ID2860785656
PECOS Enrollment IDI20200422002055
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 Bianca Barbat reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Henry Ford Health System
9.8 mi
Pediatrics
2799 W GRAND BLVD
Detroit, MI 48202
  • Reassigned Medicare billing, Michigan enrollment
  • 1,886 clinicians in this Medicare group
NPI 1003990318 (313) 916-2600
Henry Ford Macomb Hospital Corporation
15 mi
Family Medicine
15717 15 MILE RD
Clinton Twp, MI 48035
  • Reassigned Medicare billing, Michigan enrollment
  • 556 clinicians in this Medicare group
NPI 1134265986 (586) 285-3800

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

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
138 services83 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
103 services92 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
70 services56 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
32 services31 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
27 services24 patients
Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or G2212
This service refers to extended doctor visits where your healthcare provider spends additional time evaluating and managing your health beyond the primary procedure's required time. This includes each extra 15 minutes spent by the physician on the same day as the primary service.
27 services18 patients

Hospital Affiliations CMS Care Compare 2

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

Henry Ford Macomb Hospital

Acute Care Hospitals · Clinton Township, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230047
Location15855 Nineteen Mile RdClinton Township, MI 48038 · Macomb County
Emergency services Birthing friendly

Henry Ford Health Hospital

Acute Care Hospitals · Detroit, MI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230053
Location2799 W Grand BlvdDetroit, MI 48202 · Wayne County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48075 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$177.36 typical visit price
range $58.04 – $177.36
Typical copayment $44.34 (range $14.51 – $44.34)
Most-billed visit code 99205
Established Patient
$102.35 typical visit price
range $18.32 – $143.49
Typical copayment $25.58 (range $4.58 – $35.87)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

JONATHAN ARIE KROLL M.D.
Anesthesiology
16001 W 9 MILE RD
SOUTHFIELD, MI 48075
Oakland County (248) 849-3000
HENRY FORD HEALTH PROVIDENCE HOSPITAL
Pediatrics (Neonatal-Perinatal Medicine)
16001 W 9 MILE RD
SOUTHFIELD, MI 48075
Oakland County (248) 849-3000
MARY LYNN MEISEL CRNA
Nurse Anesthetist, Certified Registered
16001 W 9 MILE RD
SOUTHFIELD, MI 48075
Oakland County (248) 849-5806
MS. JESSICA L BEACOME ACNP
Nurse Practitioner (Acute Care)
16001 W 9 MILE RD, 101 FISCHER CENTER
SOUTHFIELD, MI 48075
Oakland County (248) 849-8716
TRACY CHASE GROVES CRNA
Nurse Anesthetist, Certified Registered
16001 W 9 MILE RD
SOUTHFIELD, MI 48075
Oakland County (248) 849-5806
TERESEA ANN ZARZA NP
Nurse Practitioner (Adult Health)
16001 W 9 MILE RD
SOUTHFIELD, MI 48075
Oakland County (248) 849-2528
DR. LINDSAY ANNE RICHMOND-PRUNEAU M.D.
Emergency Medicine
16001 W 9 MILE RD
SOUTHFIELD, MI 48075
Oakland County (248) 849-3000
NICOLE NOEL SILVESTRI NP
Nurse Practitioner (Family)
16001 W 9 MILE RD
SOUTHFIELD, MI 48075
Oakland County (248) 849-5806

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 Bianca Barbat's NPI number?

The NPI number for Bianca Barbat is 1407269327. It was assigned to this individual provider in the NPPES registry on June 9, 2014.

Where is Bianca Barbat located?

Bianca Barbat practices at 16001 W 9 Mile Rd, Southfield, MI 48075. The listed phone number is (248) 849-3281.

What is Bianca Barbat's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Bianca Barbat enrolled in Medicare?

Yes. Bianca Barbat 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 Bianca Barbat's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Bianca Barbat reassigns Medicare benefits to 2 organizations: Henry Ford Health System (Detroit, MI) and Henry Ford Macomb Hospital Corporation (Clinton Twp, MI). 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 Bianca Barbat's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Bianca Barbat accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 1 other insurer list Bianca Barbat 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 Bianca Barbat affiliated with any hospitals?

According to CMS data, Bianca Barbat is affiliated with Henry Ford Macomb Hospital and Henry Ford Health Hospital.

When was this NPI record last updated?

The NPPES record for Bianca Barbat was last updated on April 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.