MEDICARE: JOSHUA JOSEPH BARZILAI DO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	02006826A	IN
2	207QS1201X	Sleep Medicine (Family Medicine) Physician	34.013489	OH
3	207RS0012X	Sleep Medicine (Internal Medicine) Physician	02006826A	IN
4	207QS1201X	Sleep Medicine (Family Medicine) Physician	02006826A	IN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1134532583
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOSHUA JOSEPH BARZILAI DO

Provider Business Mailing Address
First Line	:	250 N SHADELAND AVE
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46219-4959
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	714 N SENATE AVE
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46202-3763
Country	:	US
Telephone Number	:	317-963-0555
Fax Number	:	317-963-0560

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/03/2014
Last Update Date	:	06/09/2025

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Directions to “ JOSHUA JOSEPH BARZILAI DO” Practice Location

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