Andrew Dale Baum, DPM
Individual provider Active NPI Podiatrist · La Grande, OR
NPI 1154055176 · NPPES record last updated Nov 14, 2025
Key facts
- NPI
- 1154055176
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Podiatrist 213E00000X
- License
- DP224419 (OR)
- Practice address
- 710 Sunset Dr Ste F
La Grande, OR 97850-1200 - Phone
- (541) 663-3100
- Fax
- (541) 975-5135
- NPI assigned
- Jul 14, 2022
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 8
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Podiatry
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Grande Ronde Hospital Inc
Practice addresses (Care Compare)
900 Sunset Dr
La Grande, OR 97850-1387
Phone (541) 963-8421
Hospital & facility affiliations
- Grande Ronde Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250606001074 | OR | Practitioner - Podiatry | 6901316223 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| EL7071 | CA | MD | Podiatrist |
| DP224419 | OR | MD | Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grande Ronde Hospital, Inc. | Current |
Accepting new patients | |
| Grande Ronde Hospital, Inc. | Current |
Accepting new patients |
Locations
900 Sunset Dr
La Grande, OR 97850
Phone (541) 963-8421
710 Sunset Dr
Ste F
La Grande, OR 97850
Phone (541) 663-3100
Interoperability endpoints
- andrew.baum.1@27758.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | EL7071 | CA | |
| Podiatrist | 213E00000X | DP224419 | OR | Yes |
Addresses
Primary practice location
710 Sunset Dr Ste F
La Grande, OR 97850-1200
Mailing address
PO Box 3290
La Grande, OR 97850-7290
Phone (541) 963-8421
Other practice location 1
White Memorial Hospital 1720 Cesar Chavez avenue
Los Angeles, CA 90033
Phone (323) 268-5000
Other providers in La Grande, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 14, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.