Individual provider Active NPI

Timothy Joseph Baures, M.D.

  • Infectious Disease Physician
  • Boise, ID
National Provider Identifier
1104111376
Registry record updated Mar 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
8271845 Issued in ID
Practice address
125 E Idaho St Ste 100
Boise, ID 83712-6202
Phone
(208) 381-1950
Fax
(208) 381-1951
NPI assigned
Jun 15, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X 4301500677 MI
Infectious Disease Physician 207RI0200X 65528 WI
Hospitalist Physician 208M00000X 65528 WI
Infectious Disease Physician 207RI0200X 8271845 ID Primary

Addresses

Primary practice location

125 E Idaho St Ste 100
Boise, ID 83712-6202

Mailing address

190 E Bannock St
Boise, ID 83712-6241

Other practice location 1

2301 N Lake Dr
Milwaukee, WI 53211-4508
Phone (414) 270-4932

Other identifiers 1

IdentifierTypeStateIssuer
100055334MedicaidWI

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address tbaures336967@direct.myadvocateaurora.org Direct
FHIR URL https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, ID2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20160705000022 WI Practitioner - Infectious DiseasePractitioner - Internal Medicine 8820315542 Reassigns benefits to 3 organizations
I20250325001008 ID Practitioner - Infectious Disease 8820315542 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Infectious Disease
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
St Lukes Clinic-Treasure Valley LLCGroup PAC ID 4981878402, 1,155 clinicians

Practice addresses (Care Compare)

100 E Bannock St
Boise, ID 83712-6241
Phone (208) 381-2983

125 E Idaho St
Suite 100
Boise, ID 83712-6202
Phone (208) 381-1950

190 E Bannock St
Boise, ID 83712-6241
Phone (208) 381-9384

520 S Eagle Rd
Meridian, ID 83642-6351

608 W Hays St
Boise, ID 83702-5511
Phone (208) 381-5970

610 W Hays St
Boise, ID 83702-5511
Phone (208) 381-5970

9580 W St Lukes Dr
Nampa, ID 83687-7912
Phone (208) 505-2711

9850 St Lukes Dr
Nampa, ID 83687-7912

9850 W St Luke'S Dr
Nampa, ID 83687-7912

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
65528WIMDInfectious Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ascension Medical Group-Southeast Wisconsin Inc CurrentSince Aug 15, 2021 Accepting new patients
The Medical College of Wisconsin, Inc. CurrentSince Aug 15, 2016 Accepting new patients
St Lukes Clinic-Treasure Valley LLC CurrentSince Mar 14, 2025 Accepting new patients
St Lukes Clinic-Treasure Valley LLC Hospitalist CurrentSince Mar 14, 2025 Accepting new patients
Lakeshore Medical Clinic, LLC CurrentSince May 2, 2022 Accepting new patients
St Lukes Regional Medical Center Past Accepting new patients
Boulder Community Health Past Accepting new patients

Locations

610 W Hays St
Boise, ID 83702
Phone (208) 345-3530

125 E Idaho St
Ste 100
Boise, ID 83712
Phone (208) 338-0148

190 E Bannock St
Boise, ID 83712
Phone (208) 381-2378

13950 W Capitol Dr
Brookfield, WI 53005
Phone (414) 302-5400

2323 N Lake Dr
Milwaukee, WI 53211
Phone (414) 291-1000

2901 W Kinnickinnic River Pkwy
Ste 200
Milwaukee, WI 53215
Phone (414) 646-8990

2301 N Lake Dr
Milwaukee, WI 53211
Phone (414) 270-4932

1020 N 12th St
Milwaukee, WI 53233
Phone (414) 219-3056

3801 Spring St
Mount Pleasant, WI 53405
Phone (262) 636-4011

S74W16775 Janesville Rd
Muskego, WI 53150
Phone (414) 422-4747

2000 E Layton Ave
St Francis, WI 53235
Phone (414) 744-7880

791 Summit Ave
Summit, WI 53066
Phone (262) 569-0251

13111 N Port Washington Rd
Thiensville, WI 53097
Phone (262) 243-7300

725 American Ave
Waukesha, WI 53188
Phone (262) 544-2011

8701 Watertown Plank Rd
Wauwatosa, WI 53226
Phone (414) 456-4100

201 N Mayfair Rd
Fl 2
Wauwatosa, WI 53226
Phone (414) 771-8228

Interoperability endpoints

  • Direct secure messaging: tbaures336967@direct.myadvocateaurora.org
  • Direct secure messaging: tbaures250610@epic00.shdirect.org

Organizations & group practices 7

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.

Hospital & facility affiliations 9

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": "1308096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741910400000",
    "number": "1104111376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 E BANNOCK ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837126241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 E IDAHO ST STE 100",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837126202",
            "telephone_number": "208-381-1950",
            "fax_number": "208-381-1951"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2301 N Lake Dr",
            "address_purpose": "LOCATION",
            "city": "Milwaukee",
            "state": "WI",
            "postal_code": "532114508",
            "country_code": "US",
            "telephone_number": "414-270-4932",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAURES",
        "first_name": "TIMOTHY",
        "middle_name": "JOSEPH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-15",
        "last_updated": "2025-03-14",
        "certification_date": "2025-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "MI",
            "license": "4301500677",
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "WI",
            "license": "65528",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "WI",
            "license": "65528",
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "ID",
            "license": "8271845",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100055334",
            "state": "WI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tbaures336967@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2901 W Kinnickinnic River Pkwy Ste 200",
            "city": "Milwaukee",
            "state": "WI",
            "country_code": "US",
            "postal_code": "532153660",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "2901 W Kinnickinnic River Pkwy Ste 200",
            "city": "Milwaukee",
            "state": "WI",
            "country_code": "US",
            "postal_code": "532153660",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Boise, ID

Sources for this page

Verify at the official NPI Registry.