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NEHA BARAKAM M.D
NPI 1942430111
Family Medicine in Kingsport, TN

Active since July 21, 2009PECOS Enrolled
415 BROAD ST, SUITE 410, KINGSPORT, TN 37660(423) 239-9737 Get Directions Write a Review

NPPES record last updated: November 12, 2020. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Nov 12, 2020, May 13, 2019 (2 updates tracked since 2019).

About Neha Barakam M.d NPPES

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

NEHA BARAKAM M.D (NPI 1942430111) is an individual family medicine provider in Kingsport, Tennessee, licensed in Tennessee (MD50520) and active in the NPI registry since July 2009. She is enrolled in Medicare PECOS and maintains a secondary practice location in Johnson City.

NPPES Registry Identity

NPI1942430111
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameNEHA BARAKAMCredential: M.D
Location Address415 BROAD ST, SUITE 410Kingsport, TN 37660
Mailing Address415 Broad St, Suite 410Kingsport, TN 37660 · (423) 239-9737
Phone(423) 239-9737
Sole ProprietorNo
Enumeration DateJuly 21, 2009
Last NPPES UpdateNovember 12, 20202 updates tracked since enumeration
NPPES CertifiedNovember 12, 2020
✔ NPI 1942430111 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in TN · MD50520✔ Licensed in VA · 0101252158
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
415 BROAD ST, Kingsport, TN 37660
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Secondary Practice Location 1

Location 1917 W Walnut StJohnson City, TN 37604-6527 · Phone (423) 439-6464 · Fax (423) 439-7118

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Neha Barakam M.d is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

8

Medicare enrollment records show Neha Barakam reassigns Medicare billing to 8 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Medical Education Assistance Corporation
17 mi
Internal Medicine
101 MED TECH PKWY STE 306
Johnson City, TN 37604
  • Reassigned Medicare billing, Tennessee enrollment
  • 341 clinicians in this Medicare group
NPI 1235180480 (423) 433-6039
Ipc Pac Healthcare Services Of Tennessee PC
17 mi
Internal Medicine
1 MEDICAL PARK BLVD
Bristol, TN 37620
  • Reassigned Medicare billing, Tennessee enrollment
  • 230 clinicians in this Medicare group
NPI 1104277656 (423) 844-1121
Virginia Pac Services PC
38 mi
Hospitalist
15051 HARMONY HILLS LN
Abingdon, VA 24211
  • Reassigned Medicare billing, Virginia enrollment
  • 67 clinicians in this Medicare group
NPI 1073042800 (865) 693-1000
Cs Pacs 3 Southeast, LLC
89 mi
Hospitalist
1600 BLAND ST
Bluefield, WV 24701
  • Reassigned Medicare billing, Tennessee enrollment
  • 227 clinicians in this Medicare group
NPI 1154104958 (304) 327-2485
App Of Tennessee Ed, PLLC
95 mi
Emergency Medicine
907 E LAMAR ALEXANDER PKWY
Maryville, TN 37804
  • Reassigned Medicare billing, Virginia enrollment
  • 60 clinicians in this Medicare group
NPI 1003230236 (865) 983-7211
Southeastern Physician Services PC
101 mi
Hospitalist
990 OAK RIDGE TPKE
Oak Ridge, TN 37830
  • Reassigned Medicare billing, Tennessee and Virginia enrollments
  • 1,085 clinicians in this Medicare group
NPI 1083835441 (865) 481-1000
Hospital Medicine Services Of Tn, LLC
239 mi
Hospitalist
2300 PATTERSON ST
Nashville, TN 37203
  • Reassigned Medicare billing, Tennessee enrollment
  • 420 clinicians in this Medicare group
NPI 1982301065 (615) 342-1001
Nv Pacs 2 LLC
1,819 mi
Hospitalist
10550 PARK RUN DR
Las Vegas, NV 89144
  • Reassigned Medicare billing, Tennessee enrollment
  • 253 clinicians in this Medicare group
NPI 1427534809 (865) 693-1000

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 4

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 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.
1,902 services469 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.
227 services218 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
169 services163 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
54 services54 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37660 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
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
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.

Referred Medical Equipment & Supplies CMS DME claims 12

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Walker, folding, wheeled, adjustable or fixed height E0143
DME-Other DME · category DE000N
7 suppliers25 claims25 services$57.41 avg. paid by Medicare
Walker, heavy duty, wheeled, rigid or folding, any type E0149
DME-Other DME · category DE000N
1 supplier36 claims36 services$11.41 avg. paid by Medicare
Commode chair, mobile or stationary, with fixed arms E0163
DME-Other DME · category DE000N
6 suppliers18 claims18 services$63.90 avg. paid by Medicare
Commode chair, extra wide and/or heavy duty, stationary or mobile, with or without arms, any type, each E0168
DME-Other DME · category DE000N
1 supplier35 claims35 services$11.85 avg. paid by Medicare
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
6 suppliers71 claims71 services$56.32 avg. paid by Medicare
Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) E0630
DME-Other DME · category DE000N
1 supplier11 claims11 services$54.24 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 3

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

DR. TUNGA TRISHUL REDDY M.D.
Emergency Medicine (Emergency Medical Services)
415 BROAD ST, SUITE 410
KINGSPORT, TN 37660
Sullivan County (423) 747-1240
KELSEY BAILEY HODGES
Physician Assistant (Medical)
415 BROAD ST
KINGSPORT, TN 37660
Sullivan County (423) 239-9737
JENNIFER STAKIAS NP
Nurse Practitioner
415 BROAD ST, SUITE 410
KINGSPORT, TN 37660
Sullivan County (423) 239-9737

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 Neha Barakam's NPI number?

The NPI number for Neha Barakam is 1942430111. It was assigned to this individual provider in the NPPES registry on July 21, 2009.

Where is Neha Barakam located?

Neha Barakam practices at 415 Broad St Suite 410, Kingsport, TN 37660. The listed phone number is (423) 239-9737.

What is Neha Barakam's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Neha Barakam enrolled in Medicare?

Yes. Neha Barakam is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Neha Barakam's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Neha Barakam reassigns Medicare benefits to 8 organizations: Medical Education Assistance Corporation (Johnson City, TN), Ipc Pac Healthcare Services Of Tennessee PC (Bristol, TN), Virginia Pac Services PC (Abingdon, VA), Cs Pacs 3 Southeast, LLC (Bluefield, WV), App Of Tennessee Ed, PLLC (Maryville, TN) and 3 more organizations, listed in the Medicare section above. 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 Neha Barakam's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Neha Barakam accept?

Health plans from Oscar Insurance Company list Neha Barakam 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.

When was this NPI record last updated?

The NPPES record for Neha Barakam was last updated on November 12, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.