Active NPI
Peter Sung Jae Baek, M D
- Anesthesiology Physician
- Dallas, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- M2546
- Practice address
- 5323 Harry Hines Blvd
Dallas, TX 75390-7208 - Phone
- (214) 648-6409
- Fax
- (214) 648-5461
- NPI assigned
- Jul 29, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine Physician | 208VP0000X | M2546 | TX | |
| Anesthesiology Physician | 207L00000X | M2546 | TX | Primary |
Addresses
Primary practice location
5323 Harry Hines Blvd
Dallas, TX 75390-7208
Mailing address
PO Box 845347
Dallas, TX 75284-5347
Phone (469) 291-3369
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8S7545 | Other | TX | BLUE CROSS |
| 179289701 | Medicaid | TX | |
| 179289702 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 88.94 of 100
- Quality
- 91.31
- Improvement activities
- 40
- Cost
- 79.05
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| M2546 | TX | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Texas Southwestern Medical Center at Dallas | Anesthesiology | Current | Accepting new patients |
| The University of Texas Southwestern Medical Center at Dallas | Current | Accepting new patients | |
| Kem Consults LLC | Current | Accepting new patients | |
| Orthomed Staffing LLC | Anesthesiology | Current | Accepting new patients |
| Texans Anesthesia Associates PLLC | Anesthesiology | Current | Accepting new patients |
| Anesthesia Associates LTD. | Anesthesiology | Past | Accepting new patients |
Locations
801 W Interstate 20
Arlington, TX 76017
Phone (817) 472-3400
5201 Harry Hines Blvd
Dallas, TX 75235
Phone (214) 590-1396
6201 Harry Hines Blvd
Dallas, TX 75235
Phone (214) 633-4700
7777 Forest Ln
Dallas, TX 75230
Phone (972) 566-7283
2727 E Lemmon Ave
Dallas, TX 75204
Phone (214) 443-3000
5500 Frisco Square Blvd
Frisco, TX 75034
Phone (214) 618-0500
9525 Katy Fwy
Ste 206
Houston, TX 77024
Phone (713) 400-2900
1635 North Loop W
Houston, TX 77008
Phone (713) 867-2066
701 Tuscan Dr
Ste 100
Irving, TX 75039
Phone (214) 496-1100
4500 Medical Center Dr
McKinney, TX 75069
Phone (972) 547-8190
6045 Alma Rd
Ste 100
McKinney, TX 75070
Phone (469) 854-8000
6200 W Parker Rd
Plano, TX 75093
Phone (972) 608-8000
7211 Preston Rd
Ste 2100
Plano, TX 75024
Phone (469) 303-0104
15300 Southwest Fwy
Ste 100
Sugar Land, TX 77478
Phone (281) 274-6670
5323 Harry Hines Blvd
Ut Southwest Medical Center, TX 75390
Organizations & group practices 6
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154131200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1629417600000",
"number": "1124033097",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 845347",
"city": "DALLAS",
"state": "TX",
"postal_code": "752845347",
"telephone_number": "469-291-3369",
"fax_number": "972-233-3666"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5323 HARRY HINES BLVD",
"city": "DALLAS",
"state": "TX",
"postal_code": "753907208",
"telephone_number": "214-648-6409",
"fax_number": "214-648-5461"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAEK",
"first_name": "PETER",
"middle_name": "SUNG JAE",
"credential": "M D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-29",
"last_updated": "2021-08-20",
"certification_date": "2021-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "208VP0000X",
"taxonomy_group": "",
"desc": "Pain Medicine, Pain Medicine",
"state": "TX",
"license": "M2546",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "TX",
"license": "M2546",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "8S7545",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "179289701",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "179289702",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2021; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.