Kenneth Reese Baird, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

11579540-1206 Issued in UT

Practice address

1665 W Lakota Dr
St George, UT 84770-6649

Phone

(888) 434-8880

Fax

(885) 434-8880

NPI assigned

Apr 25, 2012

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in UT, NV2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Physician Assistant

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Ming-Wei Wu IncGroup PAC ID 4284726159, 38 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• St. George Regional Hospital Hospital, St George, UT, CCN 460021

Merit-based Incentive Payment System (MIPS)

Final score

20.05 of 100Reported as individual

Quality

0

Promoting interoperability

0

Improvement activities

0

Cost

66.82

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Ming-Wei Wu, Inc

  • Surgery Physician
  • Las Vegas, NV
  • NPI 1699975144

  UT

  Medicare reassignment Care Compare group
• Professional Wound Specialists PLLC

  • Surgery Physician
  • Roy, UT
  • NPI 1598594483
  Medicare reassignment NPD
• Professional Wound Specialists LLC

  • Surgery Physician
  • Las Vegas, NV
  • NPI 1215766100
  Medicare reassignment
• Professional Wound Specialists PLLC

  • Surgery Physician
  • Albuquerque, NM
  • NPI 1033933494
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Ihc Health Services, Inc.

  • General Acute Care Hospital
  • St George, UT
  • NPI 1366452880
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1335312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669593600000",
    "number": "1194083295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1665 W LAKOTA DR",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847706649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1665 W LAKOTA DR",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847706649",
            "telephone_number": "888-434-8880",
            "fax_number": "885-434-8880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAIRD",
        "first_name": "KENNETH",
        "middle_name": "REESE",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-25",
        "last_updated": "2022-11-28",
        "certification_date": "2022-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "PA0004087",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NV",
            "license": "PA2699",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "UT",
            "license": "11579540-1206",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1194083295",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chris Bain, BC HIS
• Jennifer Bain
• Kyle Bair
• Anneli Baird
• Charissa Baird
• Baker Chiropractic LLC
• Aimee Lynn Baker, LMT, NCMA
• Arlyn Amor Baker, PT
• Caralee Baker, RBT
• Jacob A Baker

• Physician Assistant in St George, UT
• Providers in St George, UT by specialty
• Physician Assistant in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 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.

Verify at the official NPI Registry.