Active NPI
John Vincent Baka, M.D.
- Specialist
- Benton, AR
National Provider Identifier
1083633366
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- E0792
- Practice address
- 5 Medical Park Dr.- Suite 308
Benton, AR 72015 - Phone
- (501) 778-1000
- Fax
- (501) 778-1010
- NPI assigned
- Jul 18, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Specialist | 174400000X | E0792 | AR | Primary |
Addresses
Primary practice location
5 Medical Park Dr.- Suite 308
Benton, AR 72015
Mailing address
PO Box 604
Benton, AR 72018-0604
Phone (501) 778-1000
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5K157 | Other | AR | BCBS |
| 129634001 | Medicaid | AR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
- 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
- Obstetrics/Gynecology
- Education
- University of Arkansas College of Medicine, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1220 Military Rd
Benton, AR 72015-2908
Phone (501) 778-1000
Hospital & facility affiliations
- Saline Memorial Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E0792 | AR | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| John V. Baka M.D.P.a | Specialist | Current | Accepting new patients |
Locations
1220 Military Rd
Benton, AR 72015
Phone (501) 778-1000
Organizations & group practices 1
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.
-
- Specialist
- Benton, AR
- NPI 1023033859
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Benton, AR
- NPI 1235111071
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785369600000",
"number": "1083633366",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 604",
"city": "BENTON",
"state": "AR",
"postal_code": "720180604",
"telephone_number": "501-778-1000",
"fax_number": "501-778-1010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5 MEDICAL PARK DR.- SUITE 308",
"city": "BENTON",
"state": "AR",
"postal_code": "72015",
"telephone_number": "501-778-1000",
"fax_number": "501-778-1010"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAKA",
"first_name": "JOHN",
"middle_name": "VINCENT",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-18",
"last_updated": "2026-07-30",
"certification_date": "2026-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "AR",
"license": "E0792",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "5K157",
"state": "AR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "129634001",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Benton, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 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.