Active NPI
Damon L Baker, DO
- Internal Medicine Physician
- Tulsa, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 3174
- Practice address
- 717 S Houston Ave Ste 300
Tulsa, OK 74127-9006 - Phone
- (918) 382-5064
- Fax
- (918) 382-3589
- NPI assigned
- Mar 10, 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 3174 | OK | Primary |
Addresses
Primary practice location
717 S Houston Ave Ste 300
Tulsa, OK 74127-9006
Mailing address
5310 E 31St St FL 13
Tulsa, OK 74135-5018
Phone (918) 561-5701
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100118940B | Medicaid | OK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
- 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 Compare- Specialty
- Internal Medicine
- Education
- Oklahoma State University College of Osteopathic Medicine, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2345 Southwest Blvd
Tulsa, OK 74107-2705
Phone (918) 561-5701
Hospital & facility affiliations
- Oklahoma State University Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.91 of 100
- Quality
- 77.78
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 73.95
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3174 | OK | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oklahoma State University | Current | Accepting new patients | |
| Oklahoma State University | Current | Accepting new patients | |
| State of Oklahoma | Past | Accepting new patients | |
| Oklahoma State University Medical Trust | Past | Accepting new patients |
Locations
042 Murray
Stillwater, OK 74078
Phone (405) 744-6021
2401 Southwest Blvd
Tulsa, OK 74107
5310 E 31st St
Ste 13
Tulsa, OK 74135
Phone (918) 561-5701
2345 Southwest Blvd
Tulsa, OK 74107
Phone (918) 582-1980
Dept 2563
Tulsa, OK 74182
Interoperability endpoints
- dbaker214077@direct.saintfrancis.com
Organizations & group practices 4
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.
-
- Speech-Language Pathologist
- Stillwater, OK
- NPI 1700994878
-
- Clinical Medical Laboratory
- Tulsa, OK
- NPI 1326495433
-
- General Acute Care Hospital
- Tulsa, OK
- NPI 1578704938
-
- Public Health or Welfare Agency
- Oklahoma City, OK
- NPI 1184891525
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Tulsa, OK
- NPI 1578704938
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141948800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1642032000000",
"number": "1124096573",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5310 E 31ST ST FL 13",
"city": "TULSA",
"state": "OK",
"postal_code": "741355018",
"telephone_number": "918-561-5701",
"fax_number": "918-561-1173"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "717 S HOUSTON AVE STE 300",
"city": "TULSA",
"state": "OK",
"postal_code": "741279006",
"telephone_number": "918-382-5064",
"fax_number": "918-382-3589"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAKER",
"first_name": "DAMON",
"middle_name": "L",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-10",
"last_updated": "2022-01-13",
"certification_date": "2022-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "OK",
"license": "3174",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100118940B",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tulsa, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2022; 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.