Individual provider Active NPI

Peter Sung Jae Baek, M D

  • Anesthesiology Physician
  • Dallas, TX
National Provider Identifier
1124033097
Registry record updated Aug 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
M2546 Issued in TX
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

Updated by the provider on Aug 20, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
8S7545OtherTXBLUE CROSS
179289701MedicaidTX
179289702MedicaidTX

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060329000534 TX Practitioner - AnesthesiologyPractitioner - Interventional Pain Management 7315999281 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
88.94 of 100Reported as group
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

LicenseStateTypeSpecialty
M2546TXMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Texas Southwestern Medical Center at Dallas Anesthesiology CurrentSince Aug 2, 2021 Accepting new patients
The University of Texas Southwestern Medical Center at Dallas CurrentSince Aug 2, 2021 Accepting new patients
Kem Consults LLC Current Accepting new patients
Orthomed Staffing LLC Anesthesiology CurrentSince Jun 21, 2024 Accepting new patients
Texans Anesthesia Associates PLLC Anesthesiology CurrentSince Mar 1, 2024 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.

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

Verify at the official NPI Registry.