Individual provider Active NPI

Richard E Baker Jr., D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Hyannis, MA
National Provider Identifier
1114920121
Registry record updated Nov 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
1924 Issued in MA
Practice address
68 Camp St Ste 2
Hyannis, MA 02601-3048
Phone
(774) 470-4507
Fax
(774) 810-7189
NPI assigned
May 23, 2005
Last updated
Nov 8, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X RIDPM265 RI
Foot & Ankle Surgery Podiatrist 213ES0103X 1924 MA Primary

Addresses

Primary practice location

68 Camp St Ste 2
Hyannis, MA 02601-3048

Mailing address

289 Pleasant St Ste 202
Fall River, MA 02721-3005
Phone (508) 646-7720

Other practice location 1

289 Pleasant St Ste 202
Fall River, MA 02721-3005
Phone (508) 646-7720

Other identifiers 9

IdentifierTypeStateIssuer
403424OtherRIRI BLUE CHIP
4100731001OtherRICIGNA
27507OtherRINEIGHBORHOOD HEALTH
480033069OtherRIRAILROAD MEDICARE
2700472OtherRIUNITED HEALTHCARE
9007074MedicaidRI
453013OtherRITUFTS
0000023116OtherRIRI BLUE CROSS
2301915OtherRIAETNA US HEALTHCARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080909000427 MA Practitioner - Podiatry 9032214135 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1924MAMDChiropractor
RIDPM265RIMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Prima Care, PC CurrentSince Jan 1, 2017 Accepting new patients
Prima Care, PC CurrentSince Jan 1, 2017 Accepting new patients
Richard E Baker DPM LLC Foot & Ankle Surgery CurrentSince Apr 15, 2024 Accepting new patients
Advanced Foot Care, Inc. Foot & Ankle Surgery CurrentSince Apr 1, 2015 Accepting new patients
LMB Medical LLC Past Accepting new patients

Locations

95 Tremont St
Duxbury, MA 02332
Phone (781) 934-0060

95 Tremont St
Ste 5
Duxbury, MA 02332
Phone (781) 934-7292

277 Pleasant St
Fl 4
Fall River, MA 02721
Phone 50867632921244

289 Pleasant St
Ste 202
Fall River, MA 02721
Phone (508) 677-0733

289 Pleasant St
Ste 401
Fall River, MA 02721
Phone (508) 679-5888

67 Slades Ferry Ave
Somerset, MA 02726
Phone (508) 673-9400

88 Washington St
Taunton, MA 02780
Phone (508) 828-7000

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DAFDBD
  • Direct secure messaging: richard.baker@prima.eclinicaldirectplus.com

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1116806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699401600000",
    "number": "1114920121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "289 PLEASANT ST STE 202",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "027213005",
            "telephone_number": "508-646-7720",
            "fax_number": "508-646-7721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "68 CAMP ST STE 2",
            "city": "HYANNIS",
            "state": "MA",
            "postal_code": "026013048",
            "telephone_number": "774-470-4507",
            "fax_number": "774-810-7189"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "289 Pleasant St Ste 202",
            "address_purpose": "LOCATION",
            "city": "Fall River",
            "state": "MA",
            "postal_code": "027213005",
            "country_code": "US",
            "telephone_number": "508-646-7720",
            "fax_number": "508-646-7721",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAKER",
        "first_name": "RICHARD",
        "middle_name": "E",
        "name_suffix": "Jr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-23",
        "last_updated": "2023-11-08",
        "certification_date": "2023-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "RI",
            "license": "RIDPM265",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MA",
            "license": "1924",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RI BLUE CHIP",
            "identifier": "403424",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "4100731001",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEIGHBORHOOD HEALTH",
            "identifier": "27507",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "480033069",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "2700472",
            "state": "RI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9007074",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "453013",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RI BLUE CROSS",
            "identifier": "0000023116",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA US HEALTHCARE",
            "identifier": "2301915",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hyannis, MA

Sources for this page

Verify at the official NPI Registry.