Active NPI
Paul Mitchell Bauer, MD
- Trauma Surgery Physician
- Fort Wayne, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Trauma Surgery Physician
- License
- 01051916A
- Practice address
- Lutheran Hospital
7950 W Jefferson Blvd
Fort Wayne, IN 46804 - Phone
- (260) 435-7001
- NPI assigned
- Nov 25, 2005
- Last updated
- Mar 1, 2024
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 01051916A | IN | |
| Surgical Critical Care Physician | 2086S0102X | 01051916A | IN | |
| Trauma Surgery Physician | 2086S0127X | 01051916A | IN | Primary |
Addresses
Primary practice location
Lutheran Hospital
7950 W Jefferson Blvd
Fort Wayne, IN 46804
Mailing address
7950 W Jefferson Blvd
Fort Wayne, IN 46804-4140
Phone (260) 435-7001
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA, NY, NM, IN, NJ, CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 6
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01051916A | IN | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lancaster General Hospital | Surgery | Current | Accepting new patients |
| Taos Health Systems Inc Holy Cross Hospital | Current | Accepting new patients | |
| Lancaster General Hospital | Current | Accepting new patients | |
| Harlem Medical Associates PC | Current | Accepting new patients | |
| Porter Physician Services LLC | Current | Accepting new patients | |
| Lancaster General Hospital | Current | Accepting new patients | |
| Acute Care Surgery Medical Group, Inc. | Surgery | Current | Accepting new patients |
| Lancaster General Hospital | Current | Accepting new patients | |
| Pecos Valley of New Mexico, LLC | Current | Accepting new patients | |
| Saraswati D. Dayal, MD, LLC | Surgery | Past | Accepting new patients |
| Porter Physician Services LLC | Past | Accepting new patients | |
| Acute Care Surgery Medical Group, Inc. | Surgery | Past | Accepting new patients |
| Advantagehealth Medical Services, PC | Past | Accepting new patients | |
| Liberty Surgical Associates | Surgery | Past | Accepting new patients |
| Alliance Health Partners, LLC | Past | Accepting new patients |
Locations
4001 J St
Sacramento, CA 95819
Phone (916) 453-4037
150 N Jackson Ave
Ste 100
San Jose, CA 95116
Phone (408) 769-5340
1800 Spring Ridge Dr
Susanville, CA 96130
Phone (530) 252-2225
650 Dickinson Rd
Ste A
Chesterton, IN 46304
Phone (219) 926-2133
650 Dickinson Rd
Ste Z
Chesterton, IN 46304
Phone (219) 464-9507
85 E US Highway 6
Valparaiso, IN 46383
Phone (219) 983-5743
2410 W Pierce St
Carlsbad, NM 88220
Phone (505) 885-0766
2420 W Pierce St
Ste 200
Carlsbad, NM 88220
Phone (505) 885-0600
2430 W Pierce St
Carlsbad, NM 88220
Phone (505) 887-4100
1397 Weimer Rd
Taos, NM 87571
Phone (575) 751-5746
506 Malcolm X Blvd
New York, NY 10037
Phone (212) 939-1000
555 N Duke St
Lancaster, PA 17602
Phone (717) 544-5945
950 S Octorara Trl
#H
Parkesburg, PA 19365
Phone (717) 544-3737
Organizations & group practices 15
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.
-
- Family Medicine Physician
- Valparaiso, IN
- NPI 1508075680
-
- Surgery Physician
- Sacramento, CA
- NPI 1700069549
-
- General Practice Physician
- New York, NY
- NPI 1487957692
-
dba Penn Medicine LGHP Trauma & Acute Care Surgery
- Surgery Physician
- Lancaster, PA
- NPI 1154331775
-
dba Penn Medicine Lancaster General Health Physicians Radiation Oncology
- Radiation Oncology Physician
- Lancaster, PA
- NPI 1720430812
-
- General Practice Physician
- Carlsbad, NM
- NPI 1972569820
-
dba Holy Cross Hospital
- General Acute Care Hospital
- Taos, NM
- NPI 1194751958
-
dba Penn Medicine LG Health Physicians Gastrointestinal Services
- Gastroenterology Physician
- Lancaster, PA
- NPI 1205691912
-
dba Penn Medicine LGHP Family & Maternity Medicine
- Family Medicine Physician
- Lancaster, PA
- NPI 1669566337
-
- Internal Medicine Physician
- Portage, IN
- NPI 1457566309
-
- Surgery Physician
- Westminster, CO
- NPI 1477239267
-
- Nephrology Physician
- Elmira, NY
- NPI 1558342477
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132876800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1709251200000",
"number": "1083697874",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7950 W JEFFERSON BLVD",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468044140",
"telephone_number": "260-435-7001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "LUTHERAN HOSPITAL",
"address_2": "7950 W JEFFERSON BLVD",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "46804",
"telephone_number": "260-435-7001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAUER",
"first_name": "PAUL",
"middle_name": "MITCHELL",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-25",
"last_updated": "2024-03-01",
"certification_date": "2024-02-29",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "IN",
"license": "01051916A",
"primary": false
},
{
"code": "2086S0102X",
"taxonomy_group": "",
"desc": "Surgery, Surgical Critical Care",
"state": "IN",
"license": "01051916A",
"primary": false
},
{
"code": "2086S0127X",
"taxonomy_group": "",
"desc": "Surgery, Trauma Surgery",
"state": "IN",
"license": "01051916A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Wayne, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.