Individual provider Active NPI

Jeffrey Fredric Baron, MD

  • Internal Medicine Physician
  • Pawtucket, RI
National Provider Identifier
1083638282
Registry record updated Aug 27, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
RI6142 Issued in RI
Practice address
101 Ferris St
Pawtucket, RI 02861-3454
Phone
(401) 727-1880
Fax
(401) 729-1784
NPI assigned
Jul 27, 2006
Sex
Male
Sole proprietor
Yes

Hospital & facility affiliations 7

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

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

101 Ferris St
Pawtucket, RI 02861-3454
Phone (401) 727-1880

Hospital & facility affiliations

  • Amedisys Home Health Care Home health agency, Warwick, RI, CCN 417036
  • Bayada Home Health Care Inc Home health agency, Providence, RI, CCN 417057
  • The Miriam Hospital Hospital, Providence, RI, CCN 410012
  • Kent County Memorial Hospital Hospital, Warwick, RI, CCN 410009
  • Women & Infants Hospital of Rhode Island Hospital, Providence, RI, CCN 410010
  • Sturdy Memorial Hospital Hospital, Attleboro, MA, CCN 220008

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI
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.

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20080623000565 RI Practitioner - Internal Medicine 5698846301 Practice locations: Pawtucket, RI

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RI6142RIMDInternal Medicine Physician

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X RI6142 RI Primary

Addresses

NPPES NPI Registry

Primary practice location

101 Ferris St
Pawtucket, RI 02861-3454

Mailing address

101 Ferris St
Pawtucket, RI 02861-3454
Phone (401) 727-1880

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
9001554MedicaidRI

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 27, 2007.

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1188172800000",
    "number": "1083638282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 FERRIS ST",
            "city": "PAWTUCKET",
            "state": "RI",
            "postal_code": "028613454",
            "telephone_number": "401-727-1880",
            "fax_number": "401-729-1784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 FERRIS ST",
            "city": "PAWTUCKET",
            "state": "RI",
            "postal_code": "028613454",
            "telephone_number": "401-727-1880",
            "fax_number": "401-729-1784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARON",
        "first_name": "JEFFREY",
        "middle_name": "FREDRIC",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-27",
        "last_updated": "2007-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "RI",
            "license": "RI6142",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9001554",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pawtucket, RI

Sources for this page

Verify at the official NPI Registry.