Active NPI
Robert Edward Baumstark, DO
- Emergency Medicine Physician
- Dearborn, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 5101018274
- Practice address
- 18101 Oakwood Blvd
Emergency Dept
Dearborn, MI 48123-4089 - Phone
- (313) 593-8780
- Fax
- (313) 436-2864
- NPI assigned
- Jun 30, 2009
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 5101018274 | MI | Primary |
| Emergency Medicine Physician | 207P00000X | 37710 | SC |
Addresses
Primary practice location
18101 Oakwood Blvd
Emergency Dept
Dearborn, MI 48123-4089
Mailing address
38935 Ann Arbor Rd
Credentialing Dept
Livonia, MI 48150-3397
Phone (734) 805-0488
Other practice location 1
14 Richland Medical Park Dr Ste 350
Columbia, SC 29203-6896
Phone (803) 434-1663
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 12553298 | Other | CAQH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
- 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
- Michigan State University College of Osteopathic Medicine, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1850 Sam Rittenberg Blvd
Charleston, SC 29407-4936
Phone (843) 793-6093
2863 N Hwy 17
Mount Pleasant, SC 29466-8962
Phone (843) 606-3911
3000 Saint Matthews Rd
Orangeburg, SC 29118-1442
Phone (803) 553-2200
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37710 | SC | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prisma Health Medical Group-Midlands | Current | Accepting new patients | |
| Medcare Express - North Charleston LLC | Current | Accepting new patients | |
| Prisma Health Medical Group-Midlands | Emergency Medicine | Current | Accepting new patients |
| Sound Physicians Emergency Medicine of South Carolina LLC | Emergency Medicine | Current | Accepting new patients |
| Medcare Urgent Care Center - Anderson LLC | Current | Accepting new patients |
Locations
302 University Pkwy
Aiken, SC 29801
Phone (803) 279-3940
1850 Sam Rittenberg Blvd
Charleston, SC 29407
Phone (843) 576-5246
1850 Sam Rittenberg Blvd
Ste B
Charleston, SC 29407
Phone (843) 576-5246
14 Richland Medical Park Dr
Ste 350
Columbia, SC 29203
Phone (803) 434-1663
2 Medical Park Rd
Ste 506
Columbia, SC 29203
Phone (803) 434-3930
1524 Barnwell Hwy
Denmark, SC 29042
Phone (803) 395-3352
2863 N Highway 17
Mt Pleasant, SC 29466
Phone (843) 469-6803
8720 Dorchester Rd
North Charleston, SC 29420
Phone (843) 552-3629
3000 Saint Matthews Rd
Orangeburg, SC 29118
Phone (803) 395-2200
Interoperability endpoints
- rbaumstark449523@direct.musc.edu
Organizations & group practices 6
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.
-
dba Medcare Urgent Care
- Urgent Care Clinic/Center
- Charleston, SC
- NPI 1457579617
-
- Emergency Medicine Physician
- Aiken, SC
- NPI 1730636168
-
- Multi-Specialty Clinic/Center
- Columbia, SC
- NPI 1275988321
Emergency Medicine
-
- Urgent Care Clinic/Center
- Goose Creek, SC
- NPI 1093248288
-
- Urgent Care Clinic/Center
- Anderson, SC
- NPI 1689004095
-
dba PH Dentistry
- Durable Medical Equipment & Medical Supplies
- Columbia, SC
- NPI 1881469856
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Charleston, SC
- NPI 1073605879
-
dba MUSC Health- Rehabiliation - orangeburg - part of musc medical center
- Rehabilitation Hospital
- Orangeburg, SC
- NPI 1154020147
-
- General Acute Care Hospital
- Charleston, SC
- NPI 1659435840
-
dba MUSC Health - Psychiatry - Orangeburg - part of MUSC Medical Center Ch
- Psychiatric Hospital
- Orangeburg, SC
- NPI 1669171740
-
dba MUSC Health - Orangeburg, part of the MUSC Medical Center - Charleston
- General Acute Care Hospital
- Orangeburg, SC
- NPI 1710683354
-
dba MUSC Health - Orangeburg, part of MUSC Medical Center - CHarleston
- General Acute Care Hospital
- Orangeburg, SC
- NPI 1770280299
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1246320000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1768867200000",
"number": "1073741823",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "38935 ANN ARBOR RD",
"address_2": "CREDENTIALING DEPT",
"city": "LIVONIA",
"state": "MI",
"postal_code": "481503397",
"telephone_number": "734-805-0488",
"fax_number": "866-250-6385"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18101 OAKWOOD BLVD",
"address_2": "EMERGENCY DEPT",
"city": "DEARBORN",
"state": "MI",
"postal_code": "481234089",
"telephone_number": "313-593-8780",
"fax_number": "313-436-2864"
}
],
"practiceLocations": [
{
"address_1": "14 Richland Medical Park Dr Ste 350",
"address_purpose": "LOCATION",
"city": "Columbia",
"state": "SC",
"postal_code": "292036896",
"country_code": "US",
"telephone_number": "803-434-1663",
"fax_number": "803-434-7092",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BAUMSTARK",
"first_name": "ROBERT",
"middle_name": "EDWARD",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-06-30",
"last_updated": "2026-01-20",
"certification_date": "2026-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MI",
"license": "5101018274",
"primary": true
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "SC",
"license": "37710",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "12553298",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dearborn, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2026; 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.