Individual provider Active NPI

Mathue Michael Baker, M.D.

  • Advanced Heart Failure and Transplant Cardiology Physician
  • Lincoln, NE
National Provider Identifier
1093936429
Registry record updated Apr 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Heart Failure and Transplant Cardiology PhysicianTaxonomy code 207RA0001X
License
23935 Issued in NE
Practice address
1600 S 48TH St
Suite 600
Lincoln, NE 68506-1275
Phone
(402) 483-3333
Fax
(402) 483-3297
NPI assigned
May 2, 2007
Last updated
Apr 10, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 10, 2020

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 23935 NE
Adolescent Medicine (Internal Medicine) Physician 207RA0000X 23935 NE
Cardiovascular Disease Physician 207RC0000X 23935 NE
Advanced Heart Failure and Transplant Cardiology Physician 207RA0001X 23935 NE Primary

Addresses

Primary practice location

1600 S 48TH St
Suite 600
Lincoln, NE 68506-1275

Mailing address

PO Box 6607
Lincoln, NE 68506-0607
Phone (402) 483-3333

Other identifiers 3

IdentifierTypeStateIssuer
47084496100MedicaidNE
1093936429MedicaidIA
23935OtherNEMEDICAL LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA, NE, MO, KS4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20081205000772 IA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 3375604580 Reassigns benefits to 1 organization
I20090402000343 NE Practitioner - Advanced Heart Failure and Transplant CardiologyPractitioner - Internal MedicinePractitioner - Cardiovascular Disease (Cardiology) 3375604580 Reassigns benefits to 1 organization
I20110824000682 MO Practitioner - Advanced Heart Failure and Transplant CardiologyPractitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 3375604580 Reassigns benefits to 1 organization
I20110824000939 KS Practitioner - Advanced Heart Failure and Transplant CardiologyPractitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 3375604580 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Advanced Heart Failure and Transplant CardiologyAlso: Cardiovascular Disease (Cardiology), Internal Medicine
Education
University of Nebraska College of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Integrated Cardiology Group LLCGroup PAC ID 7911803796, 78 clinicians

Practice addresses (Care Compare)

1150 State St
Phillipsburg, KS 67661-1743
Phone (785) 543-5226

1301 E H St
Community Hospital
McCook, NE 68901-3482
Phone (308) 344-2650

1600 S 48TH St
Lincoln, NE 68506-1275
Phone (402) 483-3333

1600 S 48TH St
Lincoln, NE 68506-1299

202 High St
Tecumseh, NE 68450-2443
Phone (402) 335-3361

220 Essie Davison Dr
Clarinda Regional Health Center
Clarinda, IA 51632-2915
Phone (712) 542-2176

2200 H St
Fairbury, NE 68352-1119
Phone (402) 729-3351

2420 G St
Belleville, KS 66935-2400
Phone (785) 527-2254

2802 28TH St
Central City, NE 68826-2707
Phone (308) 946-3015

4508 38TH St
Suite 107
Columbus, NE 68601-1678
Phone (402) 562-1533

510 N Green St
Cherry County Hospital
Valentine, NE 69201-1932
Phone (402) 376-2525

708 N 18TH St
Community Memorial Healthcare
Marysville, KS 66508-1338
Phone (785) 562-2311

717 Brown St
Alma, NE 68920-2132
Phone (402) 928-2151

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Cardiology Group LLC Advanced Heart Failure and Transplant Cardiology CurrentSince Jul 9, 2011 Accepting new patients
The Mary Lanning Memorial Hospital Association Past Accepting new patients
The Mary Lanning Memorial Hospital Association Past Accepting new patients
Bryan Medical Center Past Accepting new patients
Alegent Health Bergan Mercy Health System Past Accepting new patients

Locations

220 Essie Davison Dr
Clarinda, IA 51632
Phone (712) 542-8330

708 N 18th St
Marysville, KS 66508
Phone (785) 562-2311

26136 US Highway 59
Fairfax, MO 64446
Phone (660) 686-2211

26136 US Highway 59
#A
Fairfax, MO 64446
Phone (660) 686-2211

715 N Saint Joseph Ave
Hastings, NE 68901
Phone (402) 461-5036

1600 S 48th St
Ste 600
Lincoln, NE 68506
Phone (402) 416-9327

Interoperability endpoints

  • Direct secure messaging: mbaker10776@hisp.bryanhealth.org

Organizations & group practices 5

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 8

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": "1178064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586476800000",
    "number": "1093936429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6607",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685060607",
            "telephone_number": "402-483-3333",
            "fax_number": "402-483-3297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 S 48TH ST",
            "address_2": "SUITE 600",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685061275",
            "telephone_number": "402-483-3333",
            "fax_number": "402-483-3297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKER",
        "first_name": "MATHUE",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-02",
        "last_updated": "2020-04-10",
        "certification_date": "2020-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NE",
            "license": "23935",
            "primary": false
        },
        {
            "code": "207RA0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Adolescent Medicine",
            "state": "NE",
            "license": "23935",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NE",
            "license": "23935",
            "primary": false
        },
        {
            "code": "207RA0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Advanced Heart Failure and Transplant Cardiology",
            "state": "NE",
            "license": "23935",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47084496100",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1093936429",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "23935",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

Verify at the official NPI Registry.