Ryan Timothy Bakelaar, M.D.

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

Practice address

122 Eagles Nest Dr
Durham, NC 27712-2989

Phone

(919) 383-0875

NPI assigned

Jul 10, 2007

Last updated

Jul 10, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Rosebud Indian Health Service

  • Ambulatory Surgical Clinic/Center
  • Rosebud, SD
  • NPI 1790955128
  NPD (past)

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

{
    "created_epoch": "1184025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184025600000",
    "number": "1043418163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 EAGLES NEST DR",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277122989",
            "telephone_number": "919-383-0875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 EAGLES NEST DR",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277122989",
            "telephone_number": "919-383-0875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKELAAR",
        "first_name": "RYAN",
        "middle_name": "TIMOTHY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-10",
        "last_updated": "2007-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Parker Bailliard, OTR/L
• Courtney Ann Bair, MD
• Rajeev Kumar Bais, M.D.
• Jason Charles Baity, CP
• Hali Jo Bakelaar, ANP-C
• Alanna Cooley Baker, PT
• Alexis Michelle Baker
• Cheryl A. Baker, MD
• Emily Susannah Philipps Baker, PA-C
• Jay Alan Baker, M.D.

• Obstetrics & Gynecology Physician in Durham, NC
• Providers in Durham, NC by specialty
• Obstetrics & Gynecology Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2007; 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.

Verify at the official NPI Registry.