Active NPI
Antonio Baca, M.D.
- Emergency Medicine Physician
- Woodbridge, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 0101250082
- Practice address
- 2300 Opitz Blvd
Woodbridge, VA 22191-3311 - Phone
- (216) 288-1596
- NPI assigned
- May 7, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 0101250082 | VA | Primary |
Addresses
Primary practice location
2300 Opitz Blvd
Woodbridge, VA 22191-3311
Mailing address
5705 Fairfax Dr
Arlington, VA 22205-2305
Phone (216) 288-1596
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Texas Tech University Health Science Center School of Medicine, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
11274 McCombs St
El Paso, TX 79934-3455
Phone (915) 242-2400
Hospital & facility affiliations
- The Hospitals of Providence Horizon City Campus
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pearsall Emergency Medicine Associates, PA | Emergency Medicine | Current | Accepting new patients |
| Hospitalist Medicine Physicians of Texas - Houston, PLLC | Emergency Medicine | Current | Accepting new patients |
| Ehra Medical Services of Virginia, PC | Emergency Medicine | Past | Accepting new patients |
| VA-I Medical Services PC | Past | Accepting new patients | |
| Bestpractices, Inc. | Emergency Medicine | Past | Accepting new patients |
Locations
11274 McCombs St
El Paso, TX 79934
Phone (915) 242-2400
1890 George Dieter Dr
El Paso, TX 79936
Phone (915) 219-9404
13600 Horizon Blvd
Ste 100
Horizon City, TX 79928
Phone (915) 407-7878
3640 Hampton Dr
Missouri City, TX 77459
Phone (281) 778-5144
Interoperability endpoints
- antonio.baca.1@14718.direct.athenahealth.com
Organizations & group practices 5
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.
-
- Emergency Medicine Physician
- Horizon City, TX
- NPI 1104326263
-
- Emergency Medicine Physician
- Plainview, TX
- NPI 1760028740
-
- Emergency Medicine Physician
- Woodbridge, VA
- NPI 1730180944
-
- Emergency Medicine Physician
- Fredericksburg, VA
- NPI 1437443967
-
- Nurse Practitioner
- Fredericksburg, VA
- NPI 1316231855
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Horizon City, TX
- NPI 1003344334
-
- General Acute Care Hospital
- El Paso, TX
- NPI 1275473340
-
- General Acute Care Hospital
- El Paso, TX
- NPI 1841843455
-
- General Acute Care Hospital
- El Paso, TX
- NPI 1861994808
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210118400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1376956800000",
"number": "1043486236",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5705 FAIRFAX DR",
"city": "ARLINGTON",
"state": "VA",
"postal_code": "222052305",
"telephone_number": "216-288-1596"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2300 OPITZ BLVD",
"city": "WOODBRIDGE",
"state": "VA",
"postal_code": "221913311",
"telephone_number": "216-288-1596"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BACA",
"first_name": "ANTONIO",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-05-07",
"last_updated": "2013-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "VA",
"license": "0101250082",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Woodbridge, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2013; 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.