Individual provider Active NPI

Chase Baruch

  • Physician Assistant
  • Saint Johns, FL
National Provider Identifier
1073462040
Registry record updated Feb 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
300 Saint Elizabeth Way Ste 270
Saint Johns, FL 32259-1152
Phone
(904) 691-1001
Fax
(904) 691-1002
NPI assigned
Jan 23, 2026
Last updated
Feb 26, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X FL Primary

Addresses

Primary practice location

300 Saint Elizabeth Way Ste 270
Saint Johns, FL 32259-1152

Mailing address

300 Saint Elizabeth Way Ste 270
Saint Johns, FL 32259-1152
Phone (904) 691-1001

Other practice location 1

2 Shircliff Way Ste 200
Jacksonville, FL 32204-4766
Phone (904) 308-2006

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260305003372 FL Practitioner - Physician Assistant 9830671080 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Vincent's Ambulatory Care IncGroup PAC ID 2860411188, 303 clinicians

Practice addresses (Care Compare)

1801 Barrs St
Suite 120
Jacksonville, FL 32204-4738
Phone (904) 308-2006

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
St Vincents Ambulatory Care Inc CurrentSince Mar 30, 2026 Accepting new patients
St Vincents Ambulatory Care Inc CurrentSince Mar 30, 2026 Accepting new patients

Locations

2 Shircliff Way
Ste 200
Jacksonville, FL 32204
Phone (904) 308-2006

300 Saint Elizabeth Way
Ste 270
St Johns, FL 32259
Phone (904) 296-3103

Organizations & group practices 2

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1769126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772064000000",
    "number": "1073462040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 SAINT ELIZABETH WAY STE 270",
            "city": "SAINT JOHNS",
            "state": "FL",
            "postal_code": "322591152",
            "telephone_number": "904-691-1001",
            "fax_number": "904-691-1002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 SAINT ELIZABETH WAY STE 270",
            "city": "SAINT JOHNS",
            "state": "FL",
            "postal_code": "322591152",
            "telephone_number": "904-691-1001",
            "fax_number": "904-691-1002"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2 Shircliff Way Ste 200",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322044766",
            "country_code": "US",
            "telephone_number": "904-308-2006",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BARUCH",
        "first_name": "CHASE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-01-23",
        "last_updated": "2026-02-26",
        "certification_date": "2026-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Johns, FL

Sources for this page

Verify at the official NPI Registry.