Individual provider Active NPI

Tilak Raj Baba

  • Internal Medicine Physician
  • Winston Salem, NC
National Provider Identifier
1093058307
Registry record updated Aug 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
202203303 Issued in NC
Practice address
195 Kimel Park Dr Ste 200
Winston Salem, NC 27103-6967
Phone
(336) 768-6211
Fax
(336) 768-6869
NPI assigned
Apr 4, 2013
Last updated
Aug 7, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 202203303 NC Primary
Hospitalist Physician 208M00000X MD044449 DC
Hospitalist Physician 208M00000X D0081092 MD

Addresses

Primary practice location

195 Kimel Park Dr Ste 200
Winston Salem, NC 27103-6967

Mailing address

195 Kimel Park Dr Ste 200
Winston Salem, NC 27103-6967
Phone (336) 768-6211

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230324001427 NC Practitioner - Gastroenterology 9638466758 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Digestive Health Specialists PAGroup PAC ID 6507849601, shared by 4 NPIs, 26 clinicians

Practice addresses (Care Compare)

112 Kinderton Blvd
Advance, NC 27006-7302
Phone (336) 768-6211

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.48 of 100Reported as group
Quality
81.46
Promoting interoperability
100
Improvement activities
40
Cost
76.8

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy69
Upper gastrointestinal (GI) endoscopy for acid reflux34

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
202203303NCMDInternal Medicine Physician
MD044449DCMDHospitalist Physician
D0081092MDMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Digestive Health Specialists, PA CurrentSince May 15, 2023 Accepting new patients
MCHS Hospitals Inc Internal Medicine Current Accepting new patients
Digestive Health Specialists, PA Current Accepting new patients
Digestive Health Specialists, PA Current Accepting new patients
Digestive Health Specialists, PA CurrentSince May 15, 2023 Accepting new patients
Digestive Health Specialists, PA CurrentSince May 15, 2023 Accepting new patients
Digestive Health Specialists, PA Current Accepting new patients
Digestive Health Specialists, PA CurrentSince May 15, 2023 Accepting new patients

Locations

112 Kinderton Blvd
Advance, NC 27006

112 Kinderton Blvd
#100
Advance, NC 27006
Phone (336) 765-0155

280 Broad St
Ste G
Kernersville, NC 27284

434 Kirby Rd
King, NC 27021

137 Mount Calvary Rd
#A
Thomasville, NC 27360

195 Kimel Park Dr
Ste 200
Winston Salem, NC 27103
Phone (336) 397-5264

195 Kimel Park Dr
Ste 300
Winston Salem, NC 27103

2025 Frontis Plaza Blvd
Ste 200
Winston Salem, NC 27103
Phone (336) 768-6621

2025 Frontis Plaza Blvd
Ste 210
Winston Salem, NC 27103
Phone (336) 768-3671

1000 N Oak Ave
Marshfield, WI 54449
Phone (715) 387-5111

Interoperability endpoints

  • Direct secure messaging: tbaba1119208@direct.novanthealth.org
  • Direct secure messaging: tilak.baba@marshfieldclinichealthsystem.cernerdirect.com

Organizations & group practices 8

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 2

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": "1365033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722988800000",
    "number": "1093058307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "195 KIMEL PARK DR STE 200",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271036967",
            "telephone_number": "336-768-6211",
            "fax_number": "336-768-6869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "195 KIMEL PARK DR STE 200",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271036967",
            "telephone_number": "336-768-6211",
            "fax_number": "336-768-6869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BABA",
        "first_name": "TILAK",
        "middle_name": "RAJ",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-04-04",
        "last_updated": "2024-08-07",
        "certification_date": "2024-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "202203303",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "DC",
            "license": "MD044449",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "MD",
            "license": "D0081092",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

Verify at the official NPI Registry.