Individual provider Active NPI

Jeffrey Ronald Baker, DPM

  • Foot & Ankle Surgery Podiatrist
  • Chicago, IL
National Provider Identifier
1215935739
Registry record updated Dec 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
016-005146 Issued in IL
Practice address
939 W North Ave Ste 610
Chicago, IL 60642-7138
Phone
(847) 390-7666
Fax
(847) 390-9345
NPI assigned
Jul 8, 2005
Last updated
Dec 17, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 016-005146 IL
Foot & Ankle Surgery Podiatrist 213ES0103X 016-005146 IL Primary

Addresses

Primary practice location

939 W North Ave Ste 610
Chicago, IL 60642-7138

Mailing address

1660 Feehanville Dr Ste 450
Mount Prospect, IL 60056-6023
Phone (847) 390-7666

Other practice location 1

111 N Wabash Ave Ste 1314
Chicago, IL 60602-3076
Phone (847) 390-7666

Other identifiers 2

IdentifierTypeStateIssuer
60000380OtherILBCBS
016005146MedicaidIL

Electronic endpoints 4

TypeEndpointUseAffiliation
Direct Messaging Address jrb@weil.emadirect.md Direct
Direct Messaging Address jrb@weil.emadirect.md Direct
Direct Messaging Address jbaker276021@direct.myadvocateaurora.org Direct
Direct Messaging Address jbaker276021@direct.myadvocateaurora.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050921000605 IL Practitioner - Podiatry 4486688272 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1660 Feehanville Dr
Suite 100
Mount Prospect, IL 60056-6019
Phone (847) 627-4924

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75.87 of 100Reported as individual
Quality
56.12
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue17

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
016-005146ILMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Weil Foot and Ankle Institute LLC Current Accepting new patients
Weil Foot and Ankle Institute LLC Podiatrist CurrentSince Jul 30, 2003 Accepting new patients
Weil Foot and Ankle Institute LLC Podiatrist CurrentSince Jul 30, 2003 Accepting new patients
Weil Foot & Ankle Institute Past Accepting new patients

Locations

111 N Wabash Ave
Ste 1314
Chicago, IL 60602
Phone (312) 263-3338

3000 N Halsted St
Ste 700
Chicago, IL 60657
Phone (773) 296-7937

939 W North Ave
Ste 610
Chicago, IL 60642
Phone (847) 713-1944

1455 E Golf Rd
Ste 110
Des Plaines, IL 60016
Phone 84739076666205

1660 Feehanville Dr
Ste 100
Mt Prospect, IL 60056
Phone (847) 627-4924

1660 Feehanville Dr
Ste 450
Mt Prospect, IL 60056
Phone (847) 250-9629

Interoperability endpoints

  • Direct secure messaging: jbaker276021@direct.myadvocateaurora.org
  • Direct secure messaging: jrb@weil.emadirect.md

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1120780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639699200000",
    "number": "1215935739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1660 FEEHANVILLE DR STE 450",
            "city": "MOUNT PROSPECT",
            "state": "IL",
            "postal_code": "600566023",
            "telephone_number": "847-390-7666",
            "fax_number": "847-390-9345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "939 W NORTH AVE STE 610",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606427138",
            "telephone_number": "847-390-7666",
            "fax_number": "847-390-9345"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "111 N Wabash Ave Ste 1314",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606023076",
            "country_code": "US",
            "telephone_number": "847-390-7666",
            "fax_number": "847-390-9345",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAKER",
        "first_name": "JEFFREY",
        "middle_name": "RONALD",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-08",
        "last_updated": "2021-12-17",
        "certification_date": "2021-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "IL",
            "license": "016-005146",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "IL",
            "license": "016-005146",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "60000380",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "016005146",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jrb@weil.emadirect.md",
            "affiliation": "N",
            "endpointDescription": "Weil",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "111 N Wabash Ave Ste 1314",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606023076",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jrb@weil.emadirect.md",
            "affiliation": "N",
            "endpointDescription": "Weil",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "939 W North Ave Ste 610",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606427138",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jbaker276021@direct.myadvocateaurora.org",
            "affiliation": "N",
            "endpointDescription": "APP PHO",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "939 W North Ave Ste 610",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606427138",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jbaker276021@direct.myadvocateaurora.org",
            "affiliation": "N",
            "endpointDescription": "APP PHO",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "111 N Wabash Ave Ste 1314",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606023076",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.