Individual provider Active NPI

Kristin M Baird, M.D.

  • Dermatology Physician
  • Longmont, CO
National Provider Identifier
1013900539
Registry record updated Nov 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
40150 Issued in CO
Practice address
1551 Professional LN
Suite 135
Longmont, CO 80501-6972
Phone
(303) 532-2810
Fax
(303) 532-2816
NPI assigned
Aug 30, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 10, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 40150 CO Primary

Addresses

Primary practice location

1551 Professional LN
Suite 135
Longmont, CO 80501-6972

Mailing address

1551 Professional LN
Suite 135
Longmont, CO 80501-6972
Phone (303) 532-2810

Other identifiers 2

IdentifierTypeStateIssuer
58659099MedicaidCO
70016791OtherCORAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101112000529 CO Practitioner - Dermatology 8820190309 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Virginia Commonwealth University, School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dermatology Center of the RockiesGroup PAC ID 7416120936, 4 clinicians

Practice addresses (Care Compare)

1551 Professional LN
Unit 135
Longmont, CO 80501-6966
Phone (303) 532-2810

Merit-based Incentive Payment System (MIPS)

Final score
94.79 of 100Reported as group
Quality
89.58
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions1140
Removal of skin cancer11
Removal or shaving of skin growth1-10
Skin biopsy165

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
40150COMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dermatology Center of the Rockies Dermatology CurrentSince Aug 15, 2011 Accepting new patients

Locations

420 Steamer Dr
Unit 101
Estes Park, CO 80517
Phone (970) 484-6700

1551 Professional Ln
Unit 135
Longmont, CO 80501
Phone (303) 532-2810

Interoperability endpoints

  • Direct secure messaging: kbaird@directaddress.net

Organizations & group practices 1

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1125360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320883200000",
    "number": "1013900539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1551 PROFESSIONAL LN",
            "address_2": "SUITE 135",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805016972",
            "telephone_number": "303-532-2810",
            "fax_number": "303-532-2816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1551 PROFESSIONAL LN",
            "address_2": "SUITE 135",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805016972",
            "telephone_number": "303-532-2810",
            "fax_number": "303-532-2816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAIRD",
        "first_name": "KRISTIN",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-08-30",
        "last_updated": "2011-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CO",
            "license": "40150",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "58659099",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "70016791",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Longmont, CO

Sources for this page

Verify at the official NPI Registry.