Individual provider Active NPI

Gary W Baughman, DPM

  • Podiatrist
  • Bay City, MI
National Provider Identifier
1124067475
Registry record updated Mar 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
001843 Issued in MI
Practice address
720 Livingston St
Bay City, MI 48708-6392
Phone
(989) 895-8594
NPI assigned
Jun 5, 2006
Sex
Male
Sole proprietor
No

Organizations & group practices 3

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.

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
92.82 of 100Reported as group
Quality
61.63
Promoting interoperability
100
Improvement activities
40
Cost
81.1

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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.

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20040428001041 MI Practitioner - Podiatry 8426045790 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
001843MIMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Onsight, Inc. Podiatrist CurrentSince Jan 2, 2024 Accepting new patients
Onsight, Inc. CurrentSince Jan 2, 2024 Accepting new patients
Giaimo Mobile Podiatry of WV PLLC Podiatrist Past Accepting new patients

Locations

2567 W Grand Blvd
Detroit, MI 48208
Phone (313) 895-2990

601 Abbott Rd
East Lansing, MI 48823
Phone 24852821166

1200 Kirts Blvd
Ste 200
Troy, MI 48084
Phone 24852819814031

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 001843 MI Primary

Addresses

NPPES NPI Registry

Primary practice location

720 Livingston St
Bay City, MI 48708-6392

Mailing address

720 Livingston St
Bay City, MI 48708-6392
Phone (989) 895-8594

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
1124067475MedicaidMI

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 5, 2014.

{
    "created_epoch": "1149465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393977600000",
    "number": "1124067475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 LIVINGSTON ST",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487086392",
            "telephone_number": "989-895-8594",
            "fax_number": "989-895-8748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 LIVINGSTON ST",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487086392",
            "telephone_number": "989-895-8594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUGHMAN",
        "first_name": "GARY",
        "middle_name": "W",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-05",
        "last_updated": "2014-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "MI",
            "license": "001843",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1124067475",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bay City, MI

Sources for this page

Verify at the official NPI Registry.