Active NPI
Jongin Julia Baek, MD
- Surgery Physician
- Mobile, AL
National Provider Identifier
1023645827
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 51142
- Practice address
- 2451 University Hospital Dr # 212
Mobile, AL 36617-2300 - Phone
- (251) 445-8282
- Fax
- (251) 445-8281
- NPI assigned
- Mar 24, 2020
- Sex
- Female
- Sole proprietor
- No
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Medicare enrollment records 1
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250808000818 | AL | Order and Referring Only - General Surgery | 6103324223 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME176203 | FL | MD | Surgery Physician |
Interoperability endpoints
- jbaek21823@tallahasseememorial.direct-ci.com
Specialties & licenses 2
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | ME176203 | FL | |
| Surgery Physician | 208600000X | 51142 | AL | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
2451 University Hospital Dr # 212
Mobile, AL 36617-2300
Mailing address
2451 University Hospital Dr # 212
Mobile, AL 36617-2300
Phone (251) 445-8282
Other practice location 1
1401 Centerville Rd Ste 107
Tallahassee, FL 32308-4647
Phone (850) 431-5567
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 27, 2025.
{
"created_epoch": "1585008000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1761523200000",
"number": "1023645827",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2451 UNIVERSITY HOSPITAL DR # 212",
"city": "MOBILE",
"state": "AL",
"postal_code": "366172300",
"telephone_number": "251-445-8282",
"fax_number": "251-445-8281"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2451 UNIVERSITY HOSPITAL DR # 212",
"city": "MOBILE",
"state": "AL",
"postal_code": "366172300",
"telephone_number": "251-445-8282",
"fax_number": "251-445-8281"
}
],
"practiceLocations": [
{
"address_1": "1401 Centerville Rd Ste 107",
"address_purpose": "LOCATION",
"city": "Tallahassee",
"state": "FL",
"postal_code": "323084647",
"country_code": "US",
"telephone_number": "850-431-5567",
"fax_number": "850-431-5563",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BAEK",
"first_name": "JONGIN",
"middle_name": "JULIA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-03-24",
"last_updated": "2025-10-27",
"certification_date": "2025-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "FL",
"license": "ME176203",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "AL",
"license": "51142",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mobile, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2025; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.