Active NPI
Robert F Baima, DDS
- Periodontics
- Oak Park, IL
National Provider Identifier
1124080627
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- Practice address
- 178 N Scoville Ave
Oak Park, IL 60302-2647 - Phone
- (708) 848-6313
- Fax
- (708) 848-6323
- NPI assigned
- Apr 3, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Periodontics | 1223P0300X | IL | Primary |
Addresses
Primary practice location
178 N Scoville Ave
Oak Park, IL 60302-2647
Mailing address
178 N Scoville Ave
Oak Park, IL 60302-2647
Phone (708) 848-6313
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190212003010 | WI | Order and Referring Only - Oral Surgery | 4981927670 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 021001869 | IL | MD | Periodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144022400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1124080627",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "178 N SCOVILLE AVE",
"city": "OAK PARK",
"state": "IL",
"postal_code": "603022647",
"telephone_number": "708-848-6313",
"fax_number": "708-848-6323"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "178 N SCOVILLE AVE",
"city": "OAK PARK",
"state": "IL",
"postal_code": "603022647",
"telephone_number": "708-848-6313",
"fax_number": "708-848-6323"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAIMA",
"first_name": "ROBERT",
"middle_name": "F",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-03",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oak Park, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.