Individual provider Active NPI

Paul W Baumert Jr., MD

  • Family Medicine Physician
  • Ames, IA
National Provider Identifier
1063408326
Registry record updated Feb 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
26867 Issued in IA
Practice address
3500 University Blvd
Ames, IA 50010-8676
Phone
(515) 239-3040
NPI assigned
Sep 22, 2005
Last updated
Feb 1, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 26867 IA Primary
Sports Medicine (Family Medicine) Physician 207QS0010X 26867 IA

Addresses

Primary practice location

3500 University Blvd
Ames, IA 50010-8676

Mailing address

1801 Hickman Rd
Broadlawns Medical Center
Des Moines, IA 50314-1505
Phone (515) 282-2501

Other practice location 1

1801 Hickman Rd
Broadlawns Medical Center
Des Moines, IA 50314-1505
Phone (515) 282-2501

Other identifiers 3

IdentifierTypeStateIssuer
0439869MedicaidIA
1063408326MedicaidIA
19482OtherIAWELLMARK BCBS

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address pbaumert98189@directmcfarlandclinic.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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
I20040727000001 IA Practitioner - Family PracticePractitioner - Other (Physician) 7113997479 Reassigns benefits to 1 organization
Practice locations: Ankeny, IA

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26867IAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Broadlawns Medical Center CurrentSince Oct 22, 2018 Accepting new patients
Broadlawns Medical Center CurrentSince Oct 22, 2018 Accepting new patients
Broadlawns Medical Center Past Accepting new patients

Locations

1801 Hickman Rd
Des Moines, IA 50314
Phone (515) 282-2200

1801 Hickman Rd
Bldg First
Des Moines, IA 50314

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1127347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612137600000",
    "number": "1063408326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 HICKMAN RD",
            "address_2": "BROADLAWNS MEDICAL CENTER",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503141505",
            "telephone_number": "515-282-2501",
            "fax_number": "515-282-2502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 UNIVERSITY BLVD",
            "city": "AMES",
            "state": "IA",
            "postal_code": "500108676",
            "telephone_number": "515-239-3040"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1801 Hickman Rd",
            "address_2": "Broadlawns Medical Center",
            "address_purpose": "LOCATION",
            "city": "Des Moines",
            "state": "IA",
            "postal_code": "503141505",
            "country_code": "US",
            "telephone_number": "515-282-2501",
            "fax_number": "515-282-2502",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAUMERT",
        "first_name": "PAUL",
        "middle_name": "W",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-22",
        "last_updated": "2021-02-01",
        "certification_date": "2021-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "26867",
            "primary": true
        },
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "IA",
            "license": "26867",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0439869",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1063408326",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK BCBS",
            "identifier": "19482",
            "state": "IA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pbaumert98189@directmcfarlandclinic.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "3500 University Blvd",
            "city": "Ames",
            "state": "IA",
            "country_code": "US",
            "postal_code": "500108676",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Ames, IA

Sources for this page

Verify at the official NPI Registry.