Active NPI
Rebecca Lynne Baczuk, MD
- Physical Medicine & Rehabilitation Physician
- Winter Park, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- ME153039
- Practice address
- 200 N Lakemont Ave
Winter Park, FL 32792-3273 - Phone
- (407) 303-1332
- Fax
- (407) 303-0347
- NPI assigned
- Dec 14, 2005
- Last updated
- Feb 29, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 0101236813 | VA | |
| Physical Medicine & Rehabilitation Physician | 208100000X | ME153039 | FL | Primary |
Addresses
Primary practice location
200 N Lakemont Ave
Winter Park, FL 32792-3273
Mailing address
2388 Bays Edge Ave
Virginia Beach, VA 23451
Phone (410) 991-4647
Other practice location 1
2388 Bays Edge Ave
Virginia Beach, VA 23451
Phone (410) 991-4647
Other practice location 2
1324 Lakeland Hills Blvd
Lakeland, FL 33805-4543
Phone (863) 687-1100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 113813700 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD, DC, VA, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
Care Compare profile
Medicare Care Compare- Specialty
- Physical Medicine and Rehabilitation
- Education
- George Washington University School of Medicine, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1324 Lakeland Hill Blvd
Lakeland, FL 33805-4543
Phone (863) 687-1100
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101236813 | VA | MD | Physical Medicine & Rehabilitation Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MNR Industries LLC | Current | Accepting new patients | |
| MNR Industries, LLC | Current | Accepting new patients | |
| MNR Industries, LLC | Current | Accepting new patients | |
| Florida Hospital Medical Group Inc | Current | Accepting new patients | |
| Danville Physician Practices LLC | Current | Accepting new patients | |
| Florida Hospital Medical Group Inc | Current | Accepting new patients | |
| MNR Industries, LLC | Current | Accepting new patients | |
| Lakeland Regional Health Systems, Inc. | Current | Accepting new patients | |
| Danville Physician Practices LLC | Current | Accepting new patients | |
| MNR Industries, LLC | Current | Accepting new patients | |
| Signify Health Medical Associates, PLLC | Current | Accepting new patients | |
| Greensboro Pathology, LLC | Current | Accepting new patients |
Locations
900 Hope Way
Forest City, FL 32714
Phone (407) 357-1255
1324 Lakeland Hills Blvd
Lakeland, FL 33805
Phone (863) 687-1132
3525 Lakeland Hills Blvd
Lakeland, FL 33805
Phone (863) 603-6565
2600 Westhall Ln
Ste 4
Maitland, FL 32751
Phone (407) 200-2700
2501 N Orange Ave
Ste 401
Orlando, FL 32804
1505 E Churchville Rd
Bel Air, MD 21014
Phone (410) 420-6970
1505 E Churchville Rd
#A
Bel Air, MD 21014
Phone (410) 420-6970
6000 Laurel Bowie Rd
Bowie, MD 20715
Phone (301) 383-0330
504 E Ridgeville Blvd
#A
Mount Airy, MD 21771
Phone (301) 703-5452
2405 York Rd
Ste 201
Timonium, MD 21093
Phone (240) 332-4048
4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037
142 S Main St
Danville, VA 24541
Phone (434) 799-2100
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Interoperability endpoints
- https://api.platform.athenahealth.com/19847/brand/3/csg/21/fhir/r4
- rebecca.baczuk.1@19847.direct.athenahealth.com
Organizations & group practices 12
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Multi-Specialty Clinic/Center
- Lakeland, FL
- NPI 1497748743
-
dba AdventHealth Medical Group
- Family Medicine Physician
- Orlando, FL
- NPI 1225034234
-
dba SOVAH Physician Practices
- Anesthesiology Physician
- Danville, VA
- NPI 1629022868
-
dba Rothman Orthopaedics AdventHealth Medical Group at Minneola
- Prosthetic/Orthotic Supplier
- Minneola, FL
- NPI 1285591545
-
- Diagnostic Radiology Physician
- Danville, VA
- NPI 1265243612
-
- Clinical Medical Laboratory
- Greensboro, NC
- NPI 1952396202
-
dba ExpressCare of Mount Airy
- Urgent Care Clinic/Center
- Mount Airy, MD
- NPI 1073963146
-
dba ExpressCare of Urbana
- Urgent Care Clinic/Center
- Frederick, MD
- NPI 1215648829
-
- Urgent Care Clinic/Center
- Bel Air, MD
- NPI 1649089418
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Bradenton, FL
- NPI 1295728186
-
- Home Health Agency
- Lakeland, FL
- NPI 1952309171
-
dba Lakeland Regional Medical Center
- General Acute Care Hospital
- Lakeland, FL
- NPI 1144228446
-
dba VitalCaring Group
- Home Health Agency
- Winter Haven, FL
- NPI 1427607555
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134518400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1709164800000",
"number": "1023093812",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2388 BAYS EDGE AVE",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "23451",
"telephone_number": "410-991-4647",
"fax_number": "443-458-7224"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 N LAKEMONT AVE",
"city": "WINTER PARK",
"state": "FL",
"postal_code": "327923273",
"telephone_number": "407-303-1332",
"fax_number": "407-303-0347"
}
],
"practiceLocations": [
{
"address_1": "2388 Bays Edge Ave",
"address_purpose": "LOCATION",
"city": "Virginia Beach",
"state": "VA",
"postal_code": "23451",
"country_code": "US",
"telephone_number": "410-991-4647",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1324 Lakeland Hills Blvd",
"address_purpose": "LOCATION",
"city": "Lakeland",
"state": "FL",
"postal_code": "338054543",
"country_code": "US",
"telephone_number": "863-687-1100",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BACZUK",
"first_name": "REBECCA",
"middle_name": "LYNNE",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-12-14",
"last_updated": "2024-02-29",
"certification_date": "2024-02-29",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "VA",
"license": "0101236813",
"primary": false
},
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "FL",
"license": "ME153039",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "113813700",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Winter Park, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.