Active NPI
Kathryn Elizabeth Baumgartner, DO
- Family Medicine Physician
- Okemos, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 5101026877
- Practice address
- 2446 Jolly Rd Ste B
Okemos, MI 48864-3514 - Phone
- (517) 253-5530
- Fax
- (517) 253-5535
- NPI assigned
- Jun 8, 2020
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 5101026877 | MI | Primary |
Addresses
Primary practice location
2446 Jolly Rd Ste B
Okemos, MI 48864-3514
Mailing address
2446 Jolly Rd Ste B
Okemos, MI 48864-3514
Phone (517) 253-5530
Other practice location 1
1215 E Michigan Ave
Lansing, MI 48912-1896
Phone (517) 364-1000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- 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
- Family Practice
- Education
- Michigan State University College of Osteopathic Medicine, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
230 Temple St
Mason, MI 48854-1851
Phone (517) 676-9066
2446 Jolly Rd
Suite B
Okemos, MI 48864-3514
Phone (517) 253-5530
Hospital & facility affiliations
- Edward W Sparrow Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5101026877 | MI | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Edward W Sparrow Hospital Association | Family Medicine | Current | Accepting new patients |
| Edward W Sparrow Hospital Association | Family Medicine | Current | Accepting new patients |
| Edward W. Sparrow Hospital Association | Family Medicine | Current | Accepting new patients |
| Edward W. Sparrow Hospital Association | Past | Accepting new patients |
Locations
8175 Reliable Pkwy
Chicago, IL 60686
1215 E Michigan Ave
Lansing, MI 48912
Phone (517) 336-8080
401 W Greenlawn Ave
Lansing, MI 48910
Phone (517) 334-2286
230 Temple St
Mason, MI 48854
Phone (517) 676-4545
2446 Jolly Rd
Ste B
Okemos, MI 48864
Phone (517) 253-5530
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.
-
- Family Medicine Physician
- Mason, MI
- NPI 1437331501
-
- Adult Health Nurse Practitioner
- Lansing, MI
- NPI 1265220438
Family Medicine
-
- Family Medicine Physician
- Okemos, MI
- NPI 1952044729
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Lansing, MI
- NPI 1033162326
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Lansing, MI
- NPI 1073588711
-
- General Acute Care Hospital
- Lansing, MI
- NPI 1760710719
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1591574400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695600000000",
"number": "1194349969",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2446 JOLLY RD STE B",
"city": "OKEMOS",
"state": "MI",
"postal_code": "488643514",
"telephone_number": "517-253-5530",
"fax_number": "517-253-5535"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2446 JOLLY RD STE B",
"city": "OKEMOS",
"state": "MI",
"postal_code": "488643514",
"telephone_number": "517-253-5530",
"fax_number": "517-253-5535"
}
],
"practiceLocations": [
{
"address_1": "1215 E Michigan Ave",
"address_purpose": "LOCATION",
"city": "Lansing",
"state": "MI",
"postal_code": "489121896",
"country_code": "US",
"telephone_number": "517-364-1000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BAUMGARTNER",
"first_name": "KATHRYN",
"middle_name": "ELIZABETH",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-06-08",
"last_updated": "2023-09-25",
"certification_date": "2023-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MI",
"license": "5101026877",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Okemos, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2023; 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.