Dustin R Baker, MD
Individual provider Active NPI Family Medicine Physician · Bethany, OK
NPI 1154360436 · NPPES record last updated Jul 30, 2015
Key facts
- NPI
- 1154360436
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 23973 (OK)
- Practice address
- 7530 NW 23Rd St
Bethany, OK 73008-4921 - Phone
- (405) 470-6510
- Fax
- (405) 470-6520
- NPI assigned
- Jun 5, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 5
Hospital & facility affiliations 11
Owned or controlled facilities with NPI records 2
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- University of Oklahoma College of Medicine, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- The Physicians Group, LLC
B3W LLC
Practice addresses (Care Compare)
10021 S Western Ave
Oklahoma City, OK 73139-2927
Phone (405) 692-9300
115 N Mustang Rd
Mustang, OK 73064-3912
Phone (405) 256-5595
1616 S Kelly Ave
Edmond, OK 73013-3651
Phone (405) 330-0032
4400 Grant Blvd
Yukon, OK 73099-0037
Phone (405) 787-8550
Hospital & facility affiliations
- Abiding Home Health of Oklahoma City
- Acg Hospice II
- Abiding Hospice, LLC
- Trinity Hospice
- Community Hospital, LLC
- Integris Baptist Medical Center, Inc
- O U Medical Center
- Mercy Hospital Oklahoma City, Inc
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OK
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
All facility ownership & control disclosures 2
| Facility | Type | Role | Since |
|---|---|---|---|
| Acg Hospice II |
Hospice | Contracted Managing Employee | Aug 1, 2025 |
| Abiding Hospice LLC |
Hospice | Contracted Managing Employee | Nov 3, 2025 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060127000106 | OK | Practitioner - Family Practice |
7719991983 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23973 | OK | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| B3W LLC | Current |
Accepting new patients | |
| The Physicians Group LLC | Family Medicine | Current |
Accepting new patients |
| Washita Emergency Physicians LLC | Past | Accepting new patients | |
| Deaconess Physician Services LLC | Family Medicine | Past | Accepting new patients |
| Jackson County Memorial Hospital Authority | Past | Accepting new patients |
Locations
7530 NW 23rd St
Bethany, OK 73008
Phone (405) 730-6990
115 N Mustang Rd
Mustang, OK 73064
Phone (405) 256-5595
10021 S Western Ave
Oklahoma City, OK 73139
Phone (405) 692-9300
4400 Grant Blvd
Yukon, OK 73099
Phone (405) 467-4440
Interoperability endpoints
- dustin.baker@gilmed.eclinicaldirectplus.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 23973 | OK | Yes |
Addresses
Primary practice location
7530 NW 23Rd St
Bethany, OK 73008-4921
Mailing address
7530 NW 23Rd St
Bethany, OK 73008-4921
Phone (405) 470-6510
Other providers in Bethany, OK
- Erica Astrino
- At Home Care MHT LLC
- Emily Bagwell
- Jennifferr Louise Baird
- Angela Baker
- Jennifer Ball
- Reid Leeann Ballard
- Charlenna Gail Barham
- Travis Barnes
- Barbara Yvonne Barnett
All providers in Bethany, OK · Family Medicine Physician in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 30, 2015. 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.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- 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.